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General NPI Number Information
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NPI Number | 1437682978
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Entity Type | Individual
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Provider Name | HAROON MUSTAFA MAJOKA M.D
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Gender | Male
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 07/16/2023
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Provider Practice Location Address
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Address Line | 350 PARK ST STE 206
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City | BOWLING GREEN
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State | KY
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Zip | 42101-1784
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Country | US
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Telephone | 270-782-9424
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Fax | 270-782-9445
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Provider Business Mailing Address
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Address Line | PO BOX 90010
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City | BOWLING GREEN
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State | KY
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Zip | 42102-9010
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Country | US
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Telephone | 270-745-1100
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Fax | 270-745-1156
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 58078
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License Number State | KY
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