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General NPI Number Information
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NPI Number | 1144394354
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Entity Type | Individual
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Provider Name | FERZANA MIR M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 10/16/2008
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Provider Practice Location Address
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Address Line | 1105 CENTRAL EXPY N SUITE 2360
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City | ALLEN
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State | TX
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Zip | 75013-6103
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Country | US
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Telephone | 972-838-1892
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1273
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City | ADDISON
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State | TX
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Zip | 75001-1273
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Country | US
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Telephone | 972-991-9950
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | K1879
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License Number State | TX
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