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General NPI Number Information
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NPI Number | 1679599252
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Entity Type | Organization
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Legal Business Name | SONIA K QADIR MD, PC
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 01/31/2011
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Provider Practice Location Address
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Address Line | 900 WALT WHITMAN RD 101
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City | MELVILLE
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State | NY
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Zip | 11747-2293
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Country | US
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Telephone | 631-271-3075
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Fax | 631-271-3018
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Provider Business Mailing Address
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Address Line | 900 WALT WHITMAN RD
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City | MELVILLE
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State | NY
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Zip | 11747-2293
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Country | US
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Telephone | 631-271-3075
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Fax | 631-271-3018
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SONIA KARIMA QADIR
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Credential | M.D
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Telephone | 631-271-3075
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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 | 232820
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License Number State | NY
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