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General NPI Number Information
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NPI Number | 1285121632
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Entity Type | Organization
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Legal Business Name | QUESAL LLC
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Dates
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Enumeration Date | 04/20/2018
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Last Update Date | 03/21/2019
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Provider Practice Location Address
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Address Line | 405 E PARKWOOD AVE
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City | FRIENDSWOOD
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State | TX
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Zip | 77546
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Country | US
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Telephone | 281-940-5929
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Fax | 281-940-8977
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Provider Business Mailing Address
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Address Line | 405 E PARKWOOD AVE
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-5149
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | QURESHI MOIN UDDIN
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Credential |
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Telephone | 410-675-6046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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