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General NPI Number Information
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NPI Number | 1376750372
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Entity Type | Individual
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Provider Name | QASIM M CHEEMA MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/20/2020
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Provider Practice Location Address
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Address Line | 1860 CHADWICK DR SUITE 256
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City | JACKSON
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State | MS
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Zip | 39204-3463
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Country | US
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Telephone | 601-376-1394
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Fax | 601-376-1840
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Provider Business Mailing Address
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Address Line | 1860 CHADWICK DR SUITE 256
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City | JACKSON
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State | MS
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Zip | 39204-3463
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Country | US
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Telephone | 601-376-1394
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Fax | 601-376-1840
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 53169-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | MS23204
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 23204
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 23204
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License Number State | MS
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