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General NPI Number Information
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NPI Number | 1417419441
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Entity Type | Individual
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Provider Name | SYED TALHA QASMI MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2019
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 1365 CLIFTON RD NE STE B6169A
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City | ATLANTA
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State | GA
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Zip | 30322-3800
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Country | US
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Telephone | 606-261-9868
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 W CENTRAL AVE
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City | TOLEDO
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State | OH
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Zip | 43606-3800
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Country | US
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Telephone | 567-420-1606
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301507152
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License Number State | MI
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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 | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | PENDING
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License Number State | GA
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