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General NPI Number Information
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NPI Number | 1245728492
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Entity Type | Individual
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Provider Name | SYED OSAMA HASSAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 3535 BERRYWOOD DR
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City | COLUMBIA
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State | MO
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Zip | 65201-6584
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Country | US
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Telephone | 949-322-5059
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30860
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City | COLUMBIA
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State | MO
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Zip | 65205-3860
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Country | US
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Telephone | 949-322-5059
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2021008705
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License Number State | MO
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