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General NPI Number Information
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NPI Number | 1245658962
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Entity Type | Individual
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Provider Name | DANIAL IBRAHIM AHMED MIR M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 20900 BISCAYNE BLVD
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City | AVENTURA
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State | FL
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Zip | 33180-1407
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Country | US
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Telephone | 305-682-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1475 NW 12TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1002
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Country | US
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Telephone | 305-243-7055
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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 | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 58942
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 58942
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | ME150879
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME150879
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License Number State | FL
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