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General NPI Number Information
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NPI Number | 1992926307
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Entity Type | Individual
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Provider Name | SYED MOHAMMED QUADRI D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 11/10/2016
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Provider Practice Location Address
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Address Line | 10176 W 400 N SUITE B
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-9009
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Country | US
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Telephone | 219-809-9839
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Fax | 219-809-9841
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Provider Business Mailing Address
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Address Line | 10176 W 400 N STE B
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-9009
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Country | US
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Telephone | 219-809-9839
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Fax | 219-809-9841
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036125924
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 036125924
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 02004065A
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License Number State | IN
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