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General NPI Number Information
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NPI Number | 1093560856
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Entity Type | Organization
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Legal Business Name | HANIA MEDICAL ASSOCIATES PLLC
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Dates
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Enumeration Date | 04/23/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 327 W OCEAN BLVD
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City | LOS FRESNOS
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State | TX
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Zip | 78566-3627
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Country | US
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Telephone | 956-233-2933
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Fax | 956-433-0160
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Provider Business Mailing Address
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Address Line | 4550 SOL RD
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City | BROWNSVILLE
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State | TX
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Zip | 78526-9723
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Country | US
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Telephone | 956-233-2933
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Fax | 956-433-0160
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Authorized Official
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Title or Position | OWNER
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Name | KAZIM HUSSAIN
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Credential |
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Telephone | 956-455-9229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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