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General NPI Number Information
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NPI Number | 1366725335
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Entity Type | Individual
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Provider Name | AZMATULLAH SYED HUSSAINI M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2011
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 185 MERRITTS RD
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City | FARMINGDALE
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State | NY
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Zip | 11735-3254
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Country | US
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Telephone | 516-595-9264
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Fax |
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Provider Business Mailing Address
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Address Line | 6127 N WASHTENAW AVE
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City | CHICAGO
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State | IL
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Zip | 60659-4849
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Country | US
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Telephone | 773-987-1424
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301099713
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA09776400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 25MA09776400
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 287210
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License Number State | NY
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