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General NPI Number Information
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NPI Number | 1639585094
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Entity Type | Individual
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Provider Name | TALHA NAWAZ MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 10506B MONTGOMERY RD STE 501
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City | MONTGOMERY
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State | OH
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Zip | 45242-4402
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Country | US
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Telephone | 513-793-2654
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Fax | 513-793-2962
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Provider Business Mailing Address
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Address Line | 10506B MONTGOMERY RD STE 501
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City | MONTGOMERY
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State | OH
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Zip | 45242-4402
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Country | US
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Telephone | 513-793-2654
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Fax | 513-793-2962
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 27098
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 35.152279
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License Number State | OH
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