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General NPI Number Information
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NPI Number | 1023111572
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Entity Type | Individual
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Provider Name | AKM MOSHARRAF HOSSAIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 01/05/2017
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Provider Practice Location Address
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Address Line | 1601 W TIMBERLANE DR SUITE 100
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City | PLANT CITY
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State | FL
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Zip | 33566-0959
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Country | US
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Telephone | 813-708-1312
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Fax | 813-321-1877
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Provider Business Mailing Address
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Address Line | PO BOX 10744
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City | CLEARWATER
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State | FL
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Zip | 33757-8744
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Country | US
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Telephone | 727-532-0002
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Fax | 727-266-4943
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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 | 21975
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 2010017185
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 21975
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME129380
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License Number State | FL
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