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General NPI Number Information
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NPI Number | 1144450230
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Entity Type | Organization
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Legal Business Name | BASHARAT HUSSAIN MD PA
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 07/22/2009
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Provider Practice Location Address
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Address Line | 1600 BUDINGER AVE SUITE A
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City | SAINT CLOUD
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State | FL
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Zip | 34769-6008
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Country | US
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Telephone | 407-498-0056
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Fax | 407-498-0057
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Provider Business Mailing Address
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Address Line | 1600 BUDINGER AVE SUITE A
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City | SAINT CLOUD
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State | FL
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Zip | 34769-6008
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Country | US
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Telephone | 407-498-0056
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Fax | 407-498-0057
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BASHARAT HUSSAIN
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Credential | MD
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Telephone | 407-498-0056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | ME 100447
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License Number State | FL
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