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General NPI Number Information
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NPI Number | 1336954015
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Entity Type | Organization
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Legal Business Name | AHMAD HUSSAIN MD INC.
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 315 N 3RD AVE STE 300
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City | COVINA
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State | CA
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Zip | 91723-1916
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Country | US
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Telephone | 626-337-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 2343 OAKLEAF CANYON RD
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City | WALNUT
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State | CA
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Zip | 91789-3440
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Country | US
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Telephone | 310-430-0517
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AHMAD HUSSAIN
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Credential | MD
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Telephone | 310-430-0517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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