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General NPI Number Information
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NPI Number | 1710098553
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Entity Type | Individual
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Provider Name | WAFA A QURESHI DDS
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 400 2ND ST S STE 250
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City | HUDSON
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State | WI
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Zip | 54016-1599
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Country | US
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Telephone | 715-808-0460
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Fax |
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Provider Business Mailing Address
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Address Line | 400 2ND ST S STE 250
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City | HUDSON
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State | WI
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Zip | 54016-1599
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Country | US
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Telephone | 715-808-0460
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | D11598
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License Number State | MN
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