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General NPI Number Information
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NPI Number | 1568601722
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Entity Type | Organization
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Legal Business Name | ADULT INPATIENT MEDICAL SERVICES,PLLC
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 1717 S J ST
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City | TACOMA
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State | WA
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Zip | 98405-4933
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Country | US
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Telephone | 253-651-2498
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 65695
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98464-1695
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Country | US
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Telephone | 253-651-2498
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Fax |
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Authorized Official
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Title or Position | MANAGER/MEMBER
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Name | DR. ATIF M MIAN
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Credential | MD
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Telephone | 253-651-2498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD35804
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License Number State | WA
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