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General NPI Number Information
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NPI Number | 1982148375
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Entity Type | Organization
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Legal Business Name | SHAMARIE SAIS, MD, PC
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Dates
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Enumeration Date | 12/05/2016
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 3602 CAMPUS BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-1314
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Country | US
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Telephone | 505-404-8925
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Fax | 505-404-8918
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Provider Business Mailing Address
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Address Line | 3602 CAMPUS BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-1314
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Country | US
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Telephone | 505-404-8925
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Fax | 505-404-8918
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | SHAMARIE SAIS
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Credential |
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Telephone | 505-298-0301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD2006-0142
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License Number State | NM
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