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General NPI Number Information
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NPI Number | 1093859787
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Entity Type | Organization
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Legal Business Name | AQDAS KURAISHI MD INC
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 3333 SKYPARK DR STE 160
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City | TORRANCE
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State | CA
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Zip | 90505-5023
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Country | US
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Telephone | 310-517-9006
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Fax | 310-957-2413
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Provider Business Mailing Address
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Address Line | 3333 SKYPARK DR STE 160
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City | TORRANCE
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State | CA
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Zip | 90505-5023
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Country | US
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Telephone | 310-517-9006
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Fax | 310-957-2413
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. AQDAS KURAISHI
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Credential | MD
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Telephone | 310-517-9006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A31370
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License Number State | CA
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