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General NPI Number Information
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NPI Number | 1336405976
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Entity Type | Individual
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Provider Name | AHMED TAMIM M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 07/16/2019
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Provider Practice Location Address
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Address Line | 3946 MINNESOTA AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20019
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Country | US
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Telephone | 202-397-1033
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Fax | 202-397-2104
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Provider Business Mailing Address
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Address Line | 2221 E BIJOU ST STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-8009
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Country | US
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Telephone | 719-576-1850
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Fax | 719-955-3470
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 34757
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 16697
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License Number State | MD
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