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General NPI Number Information
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NPI Number | 1740496702
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Entity Type | Organization
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Legal Business Name | TANIR MEDICAL CENTER PC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 6080 DIXIE HWY STE B
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City | CLARKSTON
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State | MI
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Zip | 48346-3493
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Country | US
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Telephone | 248-620-3700
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Fax | 248-620-0228
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Provider Business Mailing Address
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Address Line | 6080 DIXIE HWY STE B
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City | CLARKSTON
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State | MI
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Zip | 48346-3493
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Country | US
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Telephone | 248-620-3700
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Fax | 248-620-0228
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Authorized Official
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Title or Position | PRESIDENT
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Name | NARIN TANIR AVCI
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Credential | M.D.
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Telephone | 248-620-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 4301060849
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License Number State | MI
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