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General NPI Number Information
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NPI Number | 1649270828
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Entity Type | Individual
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Provider Name | ZEHRA HAIDER MD
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Gender | Female
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 05/24/2017
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Provider Practice Location Address
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Address Line | 3509 S REED RD
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City | KOKOMO
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State | IN
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Zip | 46902-3838
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Country | US
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Telephone | 765-453-8550
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Fax | 765-453-8049
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Provider Business Mailing Address
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Address Line | 6626 E 75TH ST SUITE 500
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2890
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Country | US
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Telephone |
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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 | 01052732A
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License Number State | IN
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