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General NPI Number Information
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NPI Number | 1831211440
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Entity Type | Organization
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Legal Business Name | TANVEER A. QURESHI, M.D., P.A.
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | 3304 COLORADO BLVD STE 101
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City | DENTON
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State | TX
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Zip | 76210-6872
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Country | US
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Telephone | 940-566-2358
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Fax | 940-381-2613
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Provider Business Mailing Address
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Address Line | 3304 COLORADO BLVD STE 101
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City | DENTON
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State | TX
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Zip | 76210-6872
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Country | US
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Telephone | 940-566-2358
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Fax | 940-381-2613
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. FARAZ A, QURESHI
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Credential |
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Telephone | 940-566-2358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 229039
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | E7239
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License Number State | TX
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