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General NPI Number Information
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NPI Number | 1952533887
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Entity Type | Organization
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Legal Business Name | QURESHI AL-OWIR PLLC
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Dates
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Enumeration Date | 08/11/2009
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 715 MALL RING CIR STE 202
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City | HENDERSON
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State | NV
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Zip | 89014-6667
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Country | US
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Telephone | 702-483-6200
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Fax | 702-483-6202
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Provider Business Mailing Address
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Address Line | PO BOX 92062
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City | LAS VEGAS
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State | NV
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Zip | 89193-2062
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Country | US
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Telephone | 702-483-6200
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Fax | 702-483-6202
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Authorized Official
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Title or Position | MANAGER
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Name | BASSAM AL-OWIR
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Credential | MD
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Telephone | 702-483-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 3264
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 10605
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License Number State | NV
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