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General NPI Number Information
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NPI Number | 1023534989
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Entity Type | Individual
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Provider Name | HASEEB QAZI CNIM, R EEG T., EP T
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Gender | Male
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 08/22/2017
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Provider Practice Location Address
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Address Line | 50 ROSE PL
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City | GARDEN CITY PARK
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State | NY
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Zip | 11040-5312
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Country | US
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Telephone | 516-210-1106
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Fax |
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Provider Business Mailing Address
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Address Line | 103 FOWLER AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07305-1907
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Country | US
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Telephone |
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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 | 246ZE0500X
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Taxonomy Name | EEG Specialist/Technologist
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License Number | 5665
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License Number State | NJ
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