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General NPI Number Information
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NPI Number | 1588584551
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Entity Type | Individual
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Provider Name | MOHAMMED MOAZAM QURESHI MD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 1101 W UNIVERSITY DR
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City | ROCHESTER
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State | MI
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Zip | 48307-1863
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Country | US
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Telephone | 248-652-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 6464 PLANTERS PL
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City | THOMASVILLE
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State | NC
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Zip | 27360-8928
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Country | US
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Telephone | 416-797-6771
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4351056411
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License Number State | MI
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