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General NPI Number Information
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NPI Number | 1447463476
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Entity Type | Organization
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Legal Business Name | MUSSELMANI INTERNAL MEDICINE PC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 1422 POINDEXTER ST
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City | CHESAPEAKE
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State | VA
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Zip | 23324-2431
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Country | US
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Telephone | 757-543-3557
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Fax |
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Provider Business Mailing Address
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Address Line | 1422 POINDEXTER ST
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City | CHESAPEAKE
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State | VA
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Zip | 23324-2431
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Country | US
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Telephone | 757-543-3557
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ZATTAM MUSSELMANI
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Credential | MD
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Telephone | 757-543-3557
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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 | 0101059204
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License Number State | VA
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