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General NPI Number Information
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NPI Number | 1336522598
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Entity Type | Individual
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Provider Name | DR. AMERA QURESHI
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Gender | Female
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 03/24/2020
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Provider Practice Location Address
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Address Line | 7116 NOLENSVILLE RD STE 102
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City | NOLENSVILLE
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State | TN
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Zip | 37135-2984
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Country | US
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Telephone | 615-283-0089
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Fax |
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Provider Business Mailing Address
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Address Line | 7116 NOLENSVILLE RD STE 102
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City | NOLENSVILLE
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State | TN
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Zip | 37135-2984
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Country | US
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Telephone | 615-283-0089
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4061
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10216
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License Number State | TN
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