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General NPI Number Information
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NPI Number | 1376160291
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Entity Type | Organization
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Legal Business Name | QAZI, RIBEIRO, AND SHAH PLLC
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Dates
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Enumeration Date | 06/26/2020
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Last Update Date | 06/26/2020
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Provider Practice Location Address
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Address Line | 1925 VILLAGE CENTER CIR STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89134-6261
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Country | US
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Telephone | 800-574-8353
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Fax | 702-543-7547
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Provider Business Mailing Address
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Address Line | 1925 VILLAGE CENTER CIR STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89134-6261
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Country | US
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Telephone | 800-574-8353
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Fax | 702-543-7547
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Authorized Official
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Title or Position | CREDENTIALING
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Name | MARY CAROL GRAHM
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Credential |
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Telephone | 702-326-1127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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