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General NPI Number Information
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NPI Number | 1679460133
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Entity Type | Individual
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Provider Name | MOHAMMED QASHMER
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Gender | Male
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 11 W DOWNER PL
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City | AURORA
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State | IL
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Zip | 60506-5134
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Country | US
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Telephone | 630-892-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 7830 W EMMA CT
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City | ORLAND PARK
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State | IL
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Zip | 60462-2969
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Country | US
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Telephone | 708-845-9216
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019.036045
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License Number State | IL
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