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General NPI Number Information
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NPI Number | 1952072555
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Entity Type | Individual
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Provider Name | SHAJEEN UDDIN AKTHER MSPAS
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Gender | Female
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 1838 GREENE TREE RD STE 340
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City | PIKESVILLE
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State | MD
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Zip | 21208-7116
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Country | US
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Telephone | 410-602-3376
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Fax | 410-602-7954
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Provider Business Mailing Address
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Address Line | 151 SOUTHHALL LN STE 300
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City | MAITLAND
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State | FL
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Zip | 32751-7172
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Country | US
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Telephone | 239-465-4916
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C0008220
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | MD
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