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General NPI Number Information
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NPI Number | 1427476894
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Entity Type | Individual
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Provider Name | DR. SANA AHMAD QURESHI
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Gender | Female
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1910 ROYALTY DR
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City | POMONA
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State | CA
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Zip | 91767-3021
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Country | US
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Telephone | 909-333-4941
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Fax | 909-333-4941
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Provider Business Mailing Address
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Address Line | 14122 PICASSO CT
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City | IRVINE
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State | CA
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Zip | 92606-1824
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Country | US
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Telephone | 949-812-2785
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Fax | 909-333-4941
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | A171247
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License Number State | CA
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A171247
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License Number State | CA
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