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General NPI Number Information
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NPI Number | 1871955617
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Entity Type | Organization
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Legal Business Name | RHEUMATOLOGY EXPRESS LLC
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 05/04/2025
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Provider Practice Location Address
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Address Line | 4660 WILKENS AVE STE 205
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City | BALTIMORE
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State | MD
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Zip | 21229-4846
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Country | US
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Telephone | 410-650-4121
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Fax | 877-763-4971
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Provider Business Mailing Address
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Address Line | 11321 MEGAN LYNN CT
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City | MARRIOTTSVILLE
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State | MD
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Zip | 21104-1658
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Country | US
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Telephone | 410-650-4121
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Fax | 877-763-4971
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Authorized Official
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Title or Position | OWNER
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Name | JAZIBEH ALEEM QURESHI
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Credential |
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Telephone | 410-650-4121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | D0062739
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License Number State | MD
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