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General NPI Number Information
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NPI Number | 1396150306
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Entity Type | Individual
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Provider Name | HAMZA MUSTAFA BEANO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2014
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 31157 WOODWARD AVE
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City | ROYAL OAK
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State | MI
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Zip | 48073-0996
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Country | US
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Telephone | 248-336-1170
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Fax | 248-336-3190
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Provider Business Mailing Address
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Address Line | 31157 WOODWARD AVE
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City | ROYAL OAK
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State | MI
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Zip | 48073-0996
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Country | US
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Telephone | 248-336-1170
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Fax | 248-336-3190
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 0101269448
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | OH
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