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General NPI Number Information
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NPI Number | 1356101380
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Entity Type | Individual
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Provider Name | ZAIN BIN MUSHTAQ
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Gender | Male
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Dates
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Enumeration Date | 03/19/2024
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 4954 GREAT NORTHERN MALL
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3307
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Country | US
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Telephone | 440-252-0502
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Fax |
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Provider Business Mailing Address
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Address Line | 4954 GREAT NORTHERN MALL
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3307
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Country | US
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Telephone | 929-535-1677
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.028009
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License Number State | OH
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