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General NPI Number Information
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NPI Number | 1356385371
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Entity Type | Individual
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Provider Name | SHABBAR HUSSAIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 20311 LAPPANS RD STE 100
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City | BOONSBORO
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State | MD
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Zip | 21713-2085
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Country | US
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Telephone | 301-432-8470
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Fax | 301-432-4010
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Provider Business Mailing Address
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Address Line | 1120 PROFESSIONAL CT
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City | HAGERSTOWN
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State | MD
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Zip | 21740-8040
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Country | US
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Telephone | 301-760-3226
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | D0031919
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | MD2017-0572
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD039475L
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License Number State | PA
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