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General NPI Number Information
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NPI Number | 1205237351
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Entity Type | Organization
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Legal Business Name | YESSAR HUSSAIN MD PA
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 4705 SPICEWOOD SPRINGS RD
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City | AUSTIN
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State | TX
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Zip | 78759-8402
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Country | US
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Telephone | 512-920-0140
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Fax | 512-920-0142
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Provider Business Mailing Address
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Address Line | 4705 SPICEWOOD SPRINGS RD
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City | AUSTIN
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State | TX
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Zip | 78759-8402
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Country | US
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Telephone | 512-920-0140
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Fax | 512-920-0142
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YESSAR HUSSAIN
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Credential | MD
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Telephone | 512-920-0140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204R00000X
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Taxonomy Name | Electrodiagnostic Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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