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General NPI Number Information
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NPI Number | 1356158489
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Entity Type | Organization
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Legal Business Name | TAIMUR AHMAD D.O.
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 3758 108TH ST
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City | CORONA
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State | NY
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Zip | 11368-2023
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Country | US
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Telephone | 718-592-1616
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Fax |
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Provider Business Mailing Address
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Address Line | 3758 108TH ST
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City | CORONA
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State | NY
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Zip | 11368-2023
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Country | US
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Telephone | 718-592-1616
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. TAIMUR AHMAD
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Credential | D.O.
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Telephone | 347-572-5826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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