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General NPI Number Information
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NPI Number | 1174509855
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Entity Type | Individual
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Provider Name | TAHIR ALVI M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 10/22/2019
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Provider Practice Location Address
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Address Line | 6099 SAN GABRIEL SUITE C
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City | KALAMAZOO
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State | MI
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Zip | 49009-8104
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Country | US
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Telephone | 269-353-4441
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Fax | 269-353-8333
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Provider Business Mailing Address
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Address Line | 714 GARLAND CIR APT A
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City | KALAMAZOO
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State | MI
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Zip | 49008-2456
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Country | US
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Telephone | 269-353-4441
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Fax | 269-353-8333
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | TA065207
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License Number State | MI
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