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General NPI Number Information
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NPI Number | 1730156936
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Entity Type | Individual
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Provider Name | ABDULLAH TAMIN HAIDER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 1312 MANATEE AVE E
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City | BRADENTON
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State | FL
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Zip | 34208-1358
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Country | US
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Telephone | 941-708-8700
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Fax | 941-708-8706
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Provider Business Mailing Address
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Address Line | 101 RIVERFRONT BLVD STE 710
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City | BRADENTON
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State | FL
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Zip | 34205-8812
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Country | US
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Telephone | 941-776-4000
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Fax | 877-369-2391
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME146687
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License Number State | FL
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