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NPI 1013426170

NPI 1013426170 : MOHAMMAD SHAHRIAR HUSSAIN RUMI MBBS : CAMP HILL, PA

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General NPI Number Information
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    NPI Number           |    1013426170
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    Entity Type          |    Individual 
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    Provider Name        |    MOHAMMAD SHAHRIAR HUSSAIN RUMI MBBS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/21/2017
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    Last Update Date     |    02/02/2021
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Provider Practice Location Address
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    Address Line         |    503 N 21ST ST 
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    City                 |    CAMP HILL
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    State                |    PA
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    Zip                  |    17011-2204
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    Country              |    US
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    Telephone            |    717-972-4448
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    Fax                  |    717-972-7366
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Provider Business Mailing Address
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    Address Line         |    162 ERFORD RD APT 203 
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    City                 |    CAMP HILL
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    State                |    PA
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    Zip                  |    17011-1856
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    MD472024
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    License Number State |    PA
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