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General NPI Number Information
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NPI Number | 1316610843
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Entity Type | Individual
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Provider Name | FIRAS QURESHI
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Gender | Male
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Dates
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Enumeration Date | 07/30/2021
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 180 W PARK AVE STE 150
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City | ELMHURST
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State | IL
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Zip | 60126-3348
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Country | US
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Telephone | 630-235-8089
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Fax |
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Provider Business Mailing Address
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Address Line | 1037 VICTORIA LN
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City | GLENDALE HEIGHTS
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State | IL
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Zip | 60139-4512
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Country | US
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Telephone | 630-235-8089
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178.017013
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License Number State | IL
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