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General NPI Number Information
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NPI Number | 1447414511
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Entity Type | Individual
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Provider Name | HUSAN ARA RAHMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 6060 W BRISTOL RD MC 485-542-250
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City | FLINT
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State | MI
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Zip | 48554-0001
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Country | US
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Telephone | 810-635-5271
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Fax | 810-635-6216
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Provider Business Mailing Address
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Address Line | 6060 W BRISTOL RD MC 485-542-250
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City | FLINT
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State | MI
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Zip | 48554-0001
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Country | US
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Telephone | 810-635-5271
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Fax | 810-635-6216
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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 | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 404567
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License Number State | MI
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