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General NPI Number Information
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NPI Number | 1093995615
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Entity Type | Individual
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Provider Name | MUZIANA S QUADIR MD
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Gender | Female
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Dates
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Enumeration Date | 11/12/2007
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | 174 CHERRY ST
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City | MILFORD
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State | CT
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Zip | 06460-3415
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Country | US
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Telephone | 203-877-6000
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Fax | 203-877-6003
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Provider Business Mailing Address
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Address Line | PO BOX 983
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City | ORANGE
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State | CT
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Zip | 06477-0983
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Country | US
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Telephone | 203-877-6000
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Fax | 203-877-6003
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 45912
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License Number State | CT
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