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General NPI Number Information
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NPI Number | 1275533481
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Entity Type | Individual
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Provider Name | AHMED HUSSAIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 2333 MOWRY AVE STE 300
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City | FREMONT
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State | CA
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Zip | 94538-1626
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Country | US
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Telephone | 510-796-0510
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Fax | 510-796-7760
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Provider Business Mailing Address
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Address Line | 2333 MOWRY AVE STE 300
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City | FREMONT
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State | CA
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Zip | 94538-1626
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Country | US
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Telephone | 510-796-0510
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Fax | 510-796-7760
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | C52122
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 43255
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 140962
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License Number State | NY
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