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General NPI Number Information
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NPI Number | 1093804965
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Entity Type | Individual
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Provider Name | SALEHA HUSSAIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2490 BRUNSWICK PIKE SUITE A
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648
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Country | US
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Telephone | 609-883-1700
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Fax | 609-883-4880
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Provider Business Mailing Address
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Address Line | 11 HANSON COURT
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City | PRINCETON
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State | NJ
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Zip | 08540
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Country | US
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Telephone | 732-355-1569
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Fax | 732-355-1569
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MAO66737
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License Number State | NJ
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