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General NPI Number Information
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NPI Number | 1427064252
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Entity Type | Organization
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Legal Business Name | HINA QURESHI LLC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 2030 AVON CT STE 5
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-8735
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Country | US
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Telephone | 434-409-4097
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Fax |
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Provider Business Mailing Address
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Address Line | 2030 AVON CT STE 5
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-8735
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Country | US
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Telephone | 434-284-2809
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Fax | 888-249-0039
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Authorized Official
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Title or Position | DIRECTOR
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Name | HINA SHAFIQUE QURESHI
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Credential | MD
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Telephone | 434-284-2809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 46078
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License Number State | MN
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