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General NPI Number Information
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NPI Number | 1588684757
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Entity Type | Individual
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Provider Name | YASIR M. MIR D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 295 STONER AVE SUITE 105
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City | WESTMINSTER
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State | MD
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Zip | 21157-5698
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Country | US
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Telephone | 410-848-6800
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Fax | 410-857-4227
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Provider Business Mailing Address
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Address Line | 455 SOUTH WASHINGTON STREET SUITE 12
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City | GETTYSBURG
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State | PA
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Zip | 17325
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Country | US
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Telephone | 717-334-1800
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Fax | 717-334-0853
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 01411
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License Number State | MD
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