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General NPI Number Information
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NPI Number | 1093153389
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Entity Type | Individual
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Provider Name | HAMMAD QURESHI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2013
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Last Update Date | 08/26/2020
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Provider Practice Location Address
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Address Line | 800 ROSE STREET
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City | LEXINGTON
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State | KY
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Zip | 40536-0293
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Country | US
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Telephone | 859-323-6047
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Fax |
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Provider Business Mailing Address
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Address Line | 36123 SCHOOLCRAFT RD
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City | LIVONIA
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State | MI
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Zip | 48150-1216
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Country | US
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Telephone | 734-793-6140
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Fax | 734-402-0254
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | TP297
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 54123
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301110665
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License Number State | MI
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