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General NPI Number Information
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NPI Number | 1134369218
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Entity Type | Organization
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Legal Business Name | TAHA MEDICAL CENTER
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Dates
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Enumeration Date | 03/02/2009
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Last Update Date | 04/14/2009
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Provider Practice Location Address
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Address Line | 5310 W CAPITOL DR #102
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City | MILWAUKEE
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State | WI
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Zip | 53216-2263
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Country | US
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Telephone | 414-305-3422
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Fax |
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Provider Business Mailing Address
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Address Line | 4555 W SCHROEDER DR #170
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City | MILWAUKEE
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State | WI
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Zip | 53223-1475
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Country | US
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Telephone | 414-365-3210
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. ADNAN NAZIR
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Credential | MD
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Telephone | 414-305-3422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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