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Individual
SHAHAAD PACE
Active
Individual
SHAHAAD PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125.082653
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/29/2023
Last updated
06/26/2023
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