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General NPI Number Information
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NPI Number | 1578750857
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Entity Type | Organization
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Legal Business Name | FARHAN QURESHI, MD PC
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 09/17/2019
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Provider Practice Location Address
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Address Line | 1601 HEALTH CENTER PKWY STE 200
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City | YUKON
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State | OK
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Zip | 73099-6396
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Country | US
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Telephone | 405-717-6952
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Fax | 405-350-9687
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Provider Business Mailing Address
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Address Line | 1601 HEALTH CENTER PKWY STE 200
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City | YUKON
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State | OK
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Zip | 73099-6652
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Country | US
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Telephone | 405-694-4144
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Fax | 405-577-6108
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Authorized Official
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Title or Position | M.D
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Name | FARHAN QURESHI
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Credential | M.D
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Telephone | 405-694-4144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20920
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License Number State | OK
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