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General NPI Number Information
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NPI Number | 1477378784
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Entity Type | Organization
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Legal Business Name | SELECTQUOTE LLC
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 121 EMDE LANE
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City | MERCED
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State | CA
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Zip | 95341
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Country | US
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Telephone | 571-977-6138
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 6TH AVE STE 550
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City | SAN DIEGO
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State | CA
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Zip | 92101-5211
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Country | US
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Telephone | 786-883-0917
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHAUDARY MUHAMMAD KASHIF
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Credential |
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Telephone | 786-883-0917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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