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General NPI Number Information
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NPI Number | 1932248721
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Entity Type | Individual
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Provider Name | SYED M TAHIR MD
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 110 LIBERTY STREET
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City | BROCKTON
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State | MA
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Zip | 02301
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Country | US
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Telephone | 508-894-0400
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Fax | 508-894-0332
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Provider Business Mailing Address
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Address Line | 680 CENTRE STREET
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City | BROCKTON
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State | MA
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Zip | 02302
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Country | US
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Telephone | 508-941-7700
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Fax | 508-941-6334
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 213915
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 213915
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License Number State | MA
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