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General NPI Number Information
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NPI Number | 1093133076
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Entity Type | Individual
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Provider Name | SUMAIR MOINUDDIN HUSAIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 2422 CALF RUN DR
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City | WILMINGTON
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State | DE
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Zip | 19808-4265
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Country | US
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Telephone | 800-348-4565
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Fax |
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Provider Business Mailing Address
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Address Line | 3 MARYLAND FARMS STE 200
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City | BRENTWOOD
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State | TN
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Zip | 37027-5780
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Country | US
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Telephone | 800-348-4565
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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 | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 35.149573
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 98672
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | ME162696
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | C1-0026578
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License Number State | DE
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