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General NPI Number Information
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NPI Number | 1588151252
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Entity Type | Individual
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Provider Name | WALEED AHMED MIR M.D
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Gender | Male
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Dates
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Enumeration Date | 04/18/2018
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 175 HIGH ST
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City | NEWTON
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State | NJ
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Zip | 07860-1004
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Country | US
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Telephone | 973-579-8321
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Fax | 973-383-4572
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Provider Business Mailing Address
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Address Line | 465 SOUTH ST STE 103
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6442
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Country | US
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Telephone | 973-579-8321
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 30203
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA12508800
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License Number State | NJ
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