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General NPI Number Information
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NPI Number | 1053676858
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Entity Type | Individual
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Provider Name | MIR AKBAR ALI MD
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Gender | Male
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Dates
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Enumeration Date | 07/08/2012
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 925 S PADRE ISLAND DR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78416-2347
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Country | US
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Telephone | 361-851-6900
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Fax | 956-291-9866
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Provider Business Mailing Address
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Address Line | 925 S PADRE ISLAND DR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78416-2347
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Country | US
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Telephone | 361-851-6900
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Fax | 956-291-9866
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 27208
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 260942
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 52994
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 0101259856
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License Number State | VA
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