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Shadi Bashar

NPI Registration Record

Provider / OrganizationNPIDate Certified
SHADI BASHAR18115901932020-11-22
Entity TypeIndividual
Provider Name Shadi Bashar RPH
Practice Office Address8805 CENTRE PARK DR
COLUMBIA, MD US
Practice Office Telephone4433645181
Mailing Address8805 CENTRE PARK DR
COLUMBIA, MD 210452117 US
Business Telephone4433645181
Business Fax4433645190
HPT Codes
CodeLicense NoState
183500000X PRIMARY22871 MD
OPI Codes

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