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General NPI Number Information
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NPI Number | 1871910570
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Entity Type | Organization
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Legal Business Name | MUHAMMAD A. MUNIR MD PC
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Dates
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Enumeration Date | 03/20/2014
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 2412 MCCALLIE AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37404-3398
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Country | US
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Telephone | 423-697-9112
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Fax | 423-697-9268
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Provider Business Mailing Address
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Address Line | PO BOX 22583
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City | CHATTANOOGA
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State | TN
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Zip | 37422-2583
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Country | US
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Telephone | 423-870-3550
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Fax | 423-877-1910
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Authorized Official
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Title or Position | OWNER
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Name | MUHAMMAD A. MUNIR
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Credential | MD
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Telephone | 423-697-9112
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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 | 31092
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License Number State | TN
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