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General NPI Number Information
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NPI Number | 1114400629
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Entity Type | Individual
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Provider Name | TAHIRA H QURESHI ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/11/2018
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 11183 S ORANGE BLOSSOM TRL STE A
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City | ORLANDO
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State | FL
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Zip | 32837-9402
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Country | US
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Telephone | 407-859-8686
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Fax | 407-859-7171
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Provider Business Mailing Address
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Address Line | 8924 ELLIOTTS CT
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City | ORLANDO
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State | FL
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Zip | 32836-5029
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Country | US
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Telephone | 321-231-4118
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Fax | 407-859-7171
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9454820
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9454820
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License Number State | FL
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