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General NPI Number Information
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NPI Number | 1841315421
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Entity Type | Organization
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Legal Business Name | CURESHE, INC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 04/12/2014
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Provider Practice Location Address
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Address Line | 107 CARROLLTON CIR
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City | LAFAYETTE
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State | LA
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Zip | 70503-5842
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Country | US
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Telephone | 337-981-0268
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Fax | 888-374-4887
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Provider Business Mailing Address
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Address Line | 107 CARROLLTON CIR
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City | LAFAYETTE
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State | LA
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Zip | 70503-5842
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Country | US
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Telephone | 337-981-0268
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Fax | 888-374-4887
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GHAYAS AHMED QURESHI
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Credential | M.D.
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Telephone | 337-981-0268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | MD11742R
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License Number State | LA
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