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General NPI Number Information
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NPI Number | 1144522707
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Entity Type | Organization
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Legal Business Name | JOWAIRIA QADRI, MD, FACOG, P.A.
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Dates
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Enumeration Date | 12/02/2010
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Last Update Date | 12/02/2010
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Provider Practice Location Address
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Address Line | 661 E ALTAMONTE DR STE 213
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5102
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Country | US
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Telephone | 407-339-1519
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Fax | 407-339-6003
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Provider Business Mailing Address
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Address Line | 661 E ALTAMONTE DR STE 213
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5102
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Country | US
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Telephone | 407-339-1519
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Fax | 407-339-6003
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Authorized Official
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Title or Position | PRESIDENT/GYNECOLOGIST
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Name | JOWAIRIA QADRI
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Credential | MD
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Telephone | 407-339-1519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME40384
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License Number State | FL
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