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General NPI Number Information
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NPI Number | 1649262007
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Entity Type | Individual
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Provider Name | SHAMA P. QURAISHI M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 2342 DOWLEN RD STE 102
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City | BEAUMONT
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State | TX
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Zip | 77706-2537
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Country | US
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Telephone | 409-781-3698
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Fax |
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Provider Business Mailing Address
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Address Line | 5080 OAKMONT DR
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City | BEAUMONT
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State | TX
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Zip | 77706-7641
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Country | US
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Telephone | 409-832-7195
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Fax | 409-832-8199
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K1627
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License Number State | TX
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