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General NPI Number Information
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NPI Number | 1275575292
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Entity Type | Individual
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Provider Name | MAZHAR HUSSAIN MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 09/26/2017
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Provider Practice Location Address
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Address Line | 5340 GORDON WAY
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City | DUBLIN
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State | OH
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Zip | 43017
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Country | US
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Telephone | 740-751-6433
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Fax |
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Provider Business Mailing Address
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Address Line | 5340 GORDON WAY
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City | DUBLIN
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State | OH
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Zip | 43017
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35.075884
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 3507584
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35.075884
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License Number State | OH
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