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General NPI Number Information
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NPI Number | 1073544912
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Entity Type | Organization
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Legal Business Name | M.A.MUNIR MD PC
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 11400 JOSEPH CAMPAU ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-3041
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Country | US
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Telephone | 313-366-5500
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Fax | 313-366-5505
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Provider Business Mailing Address
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Address Line | 11400 JOSEPH CAMPAU ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-3041
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Country | US
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Telephone | 313-366-5500
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Fax | 313-366-5505
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Authorized Official
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Title or Position | OWNER
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Name | DR. MUHAMMAD ASIM MUNIR
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Credential | MD
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Telephone | 313-366-5500
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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 | 4301068351
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License Number State | MI
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