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General NPI Number Information
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NPI Number | 1073545133
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Entity Type | Individual
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Provider Name | SAJID HUSSAIN MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 3630 CAPITAL AVE SW BEHAVIOURAL HEALTH RESOURCE
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City | BATTLE CREEK
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State | MI
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Zip | 49015
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Country | US
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Telephone | 269-966-1460
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Fax |
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Provider Business Mailing Address
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Address Line | 4001 BROKEN RDG
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City | GALESBURG
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State | MI
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Zip | 49053-9791
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Country | US
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Telephone | 906-280-1086
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 4301074762
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License Number State | MI
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