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General NPI Number Information
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NPI Number | 1447775572
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Entity Type | Individual
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Provider Name | BUSHRA ZAIDI MD
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Gender | Female
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Dates
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Enumeration Date | 08/09/2017
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 550 JACKSON STREET ,AMBULATORY CARE BUILDING, 3RD FLR ROOM A3L19
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City | LOUISVILLE
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State | KY
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Zip | 40202
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Country | US
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Telephone | 502-852-7239
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Fax |
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Provider Business Mailing Address
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Address Line | 550 S JACKSON ST FL 3
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City | LOUISVILLE
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State | KY
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Zip | 40202-1622
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Country | US
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Telephone | 502-852-7239
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 305461
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 57622
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License Number State | KY
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