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General NPI Number Information
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NPI Number | 1063487155
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Entity Type | Individual
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Provider Name | SYED Z QUADRI D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 07/16/2014
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Provider Practice Location Address
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Address Line | 2090 PALM BAY RD NE
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City | PALM BAY
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State | FL
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Zip | 32905-2913
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Country | US
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Telephone | 321-984-2255
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Fax | 321-733-4441
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Provider Business Mailing Address
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Address Line | 2090 PALM BAY RD NE
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City | PALM BAY
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State | FL
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Zip | 32905-2913
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Country | US
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Telephone | 321-984-2255
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Fax | 321-733-4441
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 16822
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License Number State | FL
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