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General NPI Number Information
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NPI Number | 1467832741
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Entity Type | Organization
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Legal Business Name | DR. FARHAN M. QURESHI DDS PC
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 08/07/2015
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Provider Practice Location Address
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Address Line | 5206 DAWES AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22311-1404
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Country | US
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Telephone | 703-931-4544
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Fax | 703-820-8737
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Provider Business Mailing Address
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Address Line | 5206 DAWES AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22311-1404
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Country | US
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Telephone | 703-931-4544
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Fax | 703-820-8737
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Authorized Official
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Title or Position | OWNER
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Name | DR. FARHAN M QURESHI
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Credential | DDS
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Telephone | 703-931-4544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 0401411638
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401411638
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License Number State | VA
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