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General NPI Number Information
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NPI Number | 1063032761
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Entity Type | Individual
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Provider Name | HAIDER MIR ALI MD
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Gender | Male
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Dates
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Enumeration Date | 04/22/2020
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1701 N US HIGHWAY 75 STE 100
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City | SHERMAN
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State | TX
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Zip | 75090-2838
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Country | US
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Telephone | 214-817-4225
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Fax |
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Provider Business Mailing Address
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Address Line | 2109 WAKEFIELD LN
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City | ALLEN
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State | TX
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Zip | 75013-1265
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Country | US
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Telephone | 772-233-6288
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | V6544
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | V6544
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License Number State | TX
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