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General NPI Number Information
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NPI Number | 1396920401
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Entity Type | Organization
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Legal Business Name | HAMID A. MIAN, MD, PC
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 01/08/2008
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Provider Practice Location Address
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Address Line | 113 HOOKER AVE
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-4919
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Country | US
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Telephone | 845-471-8272
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Fax | 845-471-8280
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Provider Business Mailing Address
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Address Line | 113 HOOKER AVE
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-4919
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Country | US
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Telephone | 845-471-8272
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Fax | 845-471-8280
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAMID MIAN
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Credential | MD
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Telephone | 845-471-8272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2442261
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 201151
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License Number State | NY
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