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General NPI Number Information
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NPI Number | 1396909271
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Entity Type | Organization
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Legal Business Name | MUNAWAR HUSSAIN MD PC
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 4500 KENNEDY DR
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City | EAST MOLINE
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State | IL
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Zip | 61244-4248
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Country | US
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Telephone | 309-796-2777
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Fax | 309-796-2785
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Provider Business Mailing Address
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Address Line | 4500 KENNEDY DR
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City | EAST MOLINE
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State | IL
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Zip | 61244-4248
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Country | US
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Telephone | 309-796-2777
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Fax | 309-796-2785
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MUNAWAR HUSSAIN
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Credential | M.D.
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Telephone | 309-796-2777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 060.003587
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License Number State | IL
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