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General NPI Number Information
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NPI Number | 1306879051
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Entity Type | Organization
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Legal Business Name | ABUL HASHEM MDPC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 3600 CUMBERLAND AVE
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City | MIDDLESBORO
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State | KY
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Zip | 40965-2614
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Country | US
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Telephone | 606-242-1428
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Fax | 606-248-1320
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Provider Business Mailing Address
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Address Line | PO BOX 274
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City | MIDDLESBORO
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State | KY
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Zip | 40965-0274
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Country | US
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Telephone | 606-248-1320
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Fax | 606-248-1518
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABUL HASHEM
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Credential | M.D.
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Telephone | 606-248-1320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 21360
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License Number State | KY
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