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NPI 1356549588

NPI 1356549588 : ZOHAIR MAPARA MD : MUNCIE, IN

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General NPI Number Information
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    NPI Number           |    1356549588
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    Entity Type          |    Individual 
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    Provider Name        |    ZOHAIR MAPARA MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/10/2007
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    Last Update Date     |    06/06/2011
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Provider Practice Location Address
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    Address Line         |    905 S WALNUT ST 
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    City                 |    MUNCIE
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    State                |    IN
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    Zip                  |    47302-2333
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    Country              |    US
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    Telephone            |    765-286-7000
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    Fax                  |    765-213-2769
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Provider Business Mailing Address
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    Address Line         |    3715 S MADISON ST PO BOX 1676
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    City                 |    MUNCIE
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    State                |    IN
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    Zip                  |    47302-5756
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    Country              |    US
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    Telephone            |    765-286-7000
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    Fax                  |    765-213-2769
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    MT190450
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    License Number State |    PA
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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       |    01067504A
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    License Number State |    IN
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