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General NPI Number Information
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NPI Number | 1720880990
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Entity Type | Organization
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Legal Business Name | TAHIRA HEALTH, WELLNESS AND WEIGHT LOSS
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 3454 COUNTY ROAD 101
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City | MINNETONKA
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State | MN
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Zip | 55345-1016
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Country | US
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Telephone | 612-492-1727
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Fax | 800-507-8621
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Provider Business Mailing Address
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Address Line | 16925 54TH AVE N
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City | PLYMOUTH
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State | MN
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Zip | 55446-3882
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Country | US
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Telephone | 612-590-4258
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Fax | 800-507-8621
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Authorized Official
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Title or Position | MD
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Name | DR. NADIA MALIK
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Credential |
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Telephone | 763-577-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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