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General NPI Number Information
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NPI Number | 1053498949
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Entity Type | Individual
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Provider Name | NICHOLAS R HUSNI MD PHD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 29001 CEDAR RD STE 300
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City | LYNDHURST
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State | OH
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Zip | 44124-4041
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Country | US
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Telephone | 216-264-7800
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Fax | 216-592-8062
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Provider Business Mailing Address
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Address Line | 5005 ROCKSIDE RD #640
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City | INDEPENDENCE
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State | OH
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Zip | 44131
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Country | US
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Telephone | 216-328-0800
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Fax | 216-328-1860
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 35-085059
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 35085059
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License Number State | OH
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