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General NPI Number Information
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NPI Number | 1154995850
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Entity Type | Individual
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Provider Name | AZAM SYED HUSAIN MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2021
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 6020 MEADOWRIDGE CENTER DR
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City | ELKRIDGE
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State | MD
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Zip | 21075
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Country | US
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Telephone | 410-872-1600
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Fax | 410-799-1595
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Provider Business Mailing Address
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Address Line | 2661 RIVA RD STE 1030
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7131
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Country | US
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Telephone | 410-571-8733
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Fax | 410-571-6309
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D0103196
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License Number State | MD
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Taxonomy #2
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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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