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General NPI Number Information
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NPI Number | 1619466208
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Entity Type | Individual
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Provider Name | TARIQ LATIF M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2018
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR
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City | MORGANTOWN
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State | WV
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Zip | 26506-1200
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Country | US
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Telephone | 855-988-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 FORBES AVENUE - FORBES TOWER PLAZA LEVEL SUITE 140
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City | PITTSBURGH
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State | PA
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Zip | 15213
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Country | US
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Telephone | 304-691-1000
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 32358
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License Number State | WV
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