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General NPI Number Information
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NPI Number | 1982771655
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Entity Type | Individual
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Provider Name | MABROOK LAWANDY SHEHATA MD
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 3900 SAN DIMAS ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-1458
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Country | US
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Telephone | 661-327-8000
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Fax | 866-265-2073
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Provider Business Mailing Address
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Address Line | 2660 CRIMSON CANYON DR STE 130
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City | LAS VEGAS
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State | NV
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Zip | 89128-0846
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Country | US
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Telephone | 661-327-0692
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Fax | 661-327-0873
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A97348
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | A97348
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License Number State | CA
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