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General NPI Number Information
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NPI Number | 1124374939
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Entity Type | Individual
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Provider Name | MUHAMMAD UMER TARIQ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 850 WH SMITH BLVD
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City | GREENVILLE
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State | NC
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Zip | 27834-3763
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Country | US
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Telephone | 252-816-5521
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Fax |
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Provider Business Mailing Address
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Address Line | 850 WH SMITH BLVD
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City | GREENVILLE
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State | NC
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Zip | 27834-3763
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Country | US
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Telephone | 252-816-5521
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 2022-00964
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 57.021896
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License Number State | OH
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