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General NPI Number Information
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NPI Number | 1093878159
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Entity Type | Individual
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Provider Name | TARIQ NAZIR M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 07/10/2014
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Provider Practice Location Address
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Address Line | 6387 RAMSEY ST SUITE 140
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-9441
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Country | US
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Telephone | 910-615-3829
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Fax | 910-615-6216
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Provider Business Mailing Address
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Address Line | 1638 OWEN DR ATTN: MANAGED CARE PLANNING
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3424
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Country | US
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Telephone | 910-615-6949
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Fax | 910-615-9761
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 200401286
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License Number State | NC
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