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General NPI Number Information
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NPI Number | 1982775458
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Entity Type | Organization
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Legal Business Name | MICHAEL D. QUASHA DMD,PA
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 04/20/2009
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Provider Practice Location Address
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Address Line | 4520 DONALD ROSS RD SUITE 105
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-5105
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Country | US
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Telephone | 561-799-5558
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Fax | 561-799-9311
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Provider Business Mailing Address
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Address Line | 4520 DONALD ROSS RD SUITE 105
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-5105
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Country | US
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Telephone | 561-799-5558
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Fax | 561-799-9311
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MICHAEL D QUASHA
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Credential | DMD
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Telephone | 561-799-5558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DN16005
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License Number State | FL
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