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General NPI Number Information
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NPI Number | 1437311487
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Entity Type | Individual
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Provider Name | MUHAMMAD FAROOQ U QURESHI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 146 3RD AVE
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City | BRENTWOOD
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State | NY
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Zip | 11717-5324
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Country | US
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Telephone | 631-665-2910
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Fax | 631-760-1969
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Provider Business Mailing Address
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Address Line | 437 ARGYLE RD
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City | EAST MEADOW
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State | NY
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Zip | 11554-4204
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Country | US
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Telephone | 631-665-2910
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Fax | 631-206-9320
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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 | 193400000X
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Taxonomy Name | Single Specialty Group
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License Number | 250936
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 250936
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License Number State | NY
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