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General NPI Number Information
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NPI Number | 1518116680
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Entity Type | Individual
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Provider Name | THASLIM AHAMED KASSIM MD
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Gender | Male
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 2157 E BASELINE RD STE 101
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City | TEMPE
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State | AZ
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Zip | 85283-1544
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Country | US
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Telephone | 240-603-2177
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Fax | 480-422-9154
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Provider Business Mailing Address
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Address Line | 2157 E BASELINE RD STE 101
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City | TEMPE
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State | AZ
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Zip | 85283-1544
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Country | US
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Telephone | 480-992-4344
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Fax | 480-422-9154
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 63043
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 2226
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 58370
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2226
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 13252
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License Number State | ND
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