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General NPI Number Information
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NPI Number | 1922717693
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Entity Type | Individual
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Provider Name | AMIR TAHIR
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Gender | Male
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 11 N PEARL ST RM 1101
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City | ALBANY
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State | NY
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Zip | 12207-2756
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Country | US
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Telephone | 518-898-4303
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Fax |
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Provider Business Mailing Address
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Address Line | 11 N PEARL ST RM 1101
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City | ALBANY
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State | NY
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Zip | 12207-2756
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Country | US
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Telephone | 518-898-4303
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Fax |
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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