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General NPI Number Information
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NPI Number | 1316102544
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Entity Type | Individual
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Provider Name | OMAR ZAHOOR TAHIR MD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 16008 KAMANA RD STE 101
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City | APPLE VALLEY
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State | CA
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Zip | 92307-1376
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Country | US
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Telephone | 760-683-2199
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Fax | 888-355-9670
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Provider Business Mailing Address
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Address Line | 18092 WIKA RD STE 220
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City | APPLE VALLEY
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State | CA
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Zip | 92307-2132
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Country | US
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Telephone | 760-683-2199
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Fax | 888-355-9670
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | C180326
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License Number State | CA
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