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General NPI Number Information
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NPI Number | 1639341597
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Entity Type | Individual
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Provider Name | MRS. ANJUM AFSHAN QURESHI
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Gender | Female
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 11/02/2012
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Provider Practice Location Address
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Address Line | 8742 169TH ST
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City | JAMAICA
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State | NY
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Zip | 11432-3632
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Country | US
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Telephone | 718-739-2200
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Fax | 718-526-2830
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Provider Business Mailing Address
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Address Line | 24 FAIRFAX ST
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City | VALLEY STREAM
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State | NY
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Zip | 11580-3515
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Country | US
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Telephone | 718-739-2200
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Fax | 718-526-2830
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 022953
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License Number State | NY
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