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General NPI Number Information
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NPI Number | 1083693279
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Entity Type | Individual
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Provider Name | TAHER HUSAINY MD
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Gender | Male
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Dates
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Enumeration Date | 01/16/2006
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1395 N COURTENAY PKWY STE 106
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-4474
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Country | US
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Telephone | 321-452-1224
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Fax | 321-453-7784
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Provider Business Mailing Address
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Address Line | 9960 NW 116TH WAY STE 13
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City | MEDLEY
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State | FL
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Zip | 33178-1175
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Country | US
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Telephone | 786-924-1311
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Fax | 786-924-1313
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | ME0041139
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME41139
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License Number State | FL
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