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General NPI Number Information
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NPI Number | 1629850250
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Entity Type | Organization
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Legal Business Name | QAISS MEDICAL SERVICES INC
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Dates
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Enumeration Date | 10/18/2023
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 53 DARBY RD
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City | PAOLI
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State | PA
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Zip | 19301-1472
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Country | US
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Telephone | 718-909-7380
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Fax |
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Provider Business Mailing Address
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Address Line | 53 DARBY RD
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City | PAOLI
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State | PA
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Zip | 19301-1472
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | QAISS MOHAMMED
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Credential | MD
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Telephone | 718-909-7380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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