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General NPI Number Information
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NPI Number | 1164209383
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Entity Type | Individual
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Provider Name | MUSAB AHMED A HIJAN MD
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Gender | Male
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 225 ABRAHAM FLEXNER WAY STE 850
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City | LOUISVILLE
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State | KY
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Zip | 40202-3840
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Country | US
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Telephone | 502-562-0312
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Fax |
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Provider Business Mailing Address
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Address Line | 200 W LIBERTY ST STE 2207
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City | LOUISVILLE
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State | KY
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Zip | 40202-2492
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Country | US
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Telephone | 502-536-4293
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 73000272A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | FT658
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License Number State | KY
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