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General NPI Number Information
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NPI Number | 1861678856
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Entity Type | Individual
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Provider Name | ZAHIRUL TALUKDER MD
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Gender | Male
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Dates
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Enumeration Date | 01/21/2008
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 2108 4TH ST SUITE A
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City | JACKSON
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State | MI
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Zip | 49203-4518
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Country | US
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Telephone | 517-788-9700
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Fax | 517-784-8975
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Provider Business Mailing Address
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Address Line | 2108 4TH ST SUITE A
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City | JACKSON
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State | MI
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Zip | 49203-4518
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Country | US
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Telephone | 517-788-9700
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Fax | 517-784-8975
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 5315026665
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License Number State | MI
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