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General NPI Number Information
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NPI Number | 1003300906
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Entity Type | Individual
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Provider Name | TAYYAB ALI WAHEED MD
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Gender | Male
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 301 S 7TH AVE STE 2020
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City | WEST READING
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State | PA
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Zip | 19611-1495
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Country | US
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Telephone | 610-375-6565
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13579
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City | READING
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State | PA
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Zip | 19612-3579
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Country | US
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Telephone |
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD488640
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License Number State | PA
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