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General NPI Number Information
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NPI Number | 1235468703
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Entity Type | Individual
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Provider Name | MIR M. A QUADRI M.D
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Gender | Male
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Dates
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Enumeration Date | 12/13/2009
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | TEXOMA MEDICAL CENTER 5016 N HWY 75
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City | DENISON
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State | TX
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Zip | 75020
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Country | US
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Telephone | 847-414-5573
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 W HIGHLAND ST APT # 283
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City | CHANDLER
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State | AZ
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Zip | 85224-7833
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Country | US
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Telephone | 847-414-5573
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 43055
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R3189
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License Number State | TX
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