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NPI 1568687606

NPI 1568687606 : NAEEM A QAZI MD FACC PC : BLUEFIELD, WV

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General NPI Number Information
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    NPI Number           |    1568687606
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    Entity Type          |    Organization 
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    Legal Business Name  |    NAEEM A QAZI MD FACC PC 
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Dates
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    Enumeration Date     |    04/16/2007
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    Last Update Date     |    01/08/2008
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Provider Practice Location Address
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    Address Line         |    1331 SOUTHVIEW DR 
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    City                 |    BLUEFIELD
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    State                |    WV
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    Zip                  |    24701-4320
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    Country              |    US
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    Telephone            |    304-325-8171
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    Fax                  |    304-325-3914
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Provider Business Mailing Address
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    Address Line         |    1331 SOUTHVIEW DR 
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    City                 |    BLUEFIELD
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    State                |    WV
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    Zip                  |    24701-4320
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    Country              |    US
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    Telephone            |    304-325-8171
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    Fax                  |    304-325-3914
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     NAEEM A QAZI 
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    Credential           |    MD
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    Telephone            |    304-325-8171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    
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