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General NPI Number Information
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NPI Number | 1316525504
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Entity Type | Individual
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Provider Name | QASIM JAVED
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Gender | Male
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Dates
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Enumeration Date | 03/30/2021
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Last Update Date | 07/01/2024
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Provider Practice Location Address
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Address Line | 1600 EUREKA RD
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City | ROSEVILLE
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State | CA
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Zip | 95661-3027
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Country | US
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Telephone | 916-746-3590
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Fax |
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Provider Business Mailing Address
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Address Line | 9300 WILLOW POND CIR
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City | ELK GROVE
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State | CA
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Zip | 95624-1266
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Country | US
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Telephone | 559-289-2019
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Fax |
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 61414129
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 22784
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License Number State | CA
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