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General NPI Number Information
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NPI Number | 1982868212
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Entity Type | Organization
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Legal Business Name | OMAR QURESHI, M.D., PLLC
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 111 CLARA BARTON ST
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City | DANSVILLE
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State | NY
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Zip | 14437-9503
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Country | US
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Telephone | 585-335-2194
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 530
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City | DANSVILLE
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State | NY
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Zip | 14437-0530
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Country | US
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Telephone | 585-335-2194
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OMAR QURESHI
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Credential | M.D.
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Telephone | 585-335-2194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 239557
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License Number State | NY
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