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Tahir Usman Mir

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NPI Number Detailed Information

Provider Information:

Name: Tahir Usman Mir
Gender: M
Provider License Number If Given: MD037173L

NPI Information:

NPI: 1427057702
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/19/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 7 S 5TH ST
Indiana, PA 15701
Phone Number: 7244631410
Fax Number: 7244631410

Provider Business Practice Location Address:

Address: 7 S 5TH ST
Indiana, PA 15701
Phone Number: 7244631410
Fax Number: 7244631410

Provider Taxonomy:

Primary: 208D00000X
Secondary (if any):
State: PA

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