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General NPI Number Information
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NPI Number | 1467252924
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Entity Type | Organization
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Legal Business Name | DR. HUSS PA
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 1650 NE 26TH ST STE 103
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City | WILTON MANORS
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State | FL
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Zip | 33305-1431
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Country | US
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Telephone | 347-634-6469
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Fax |
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Provider Business Mailing Address
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Address Line | 2445 NW 33RD ST APT 1404
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City | OAKLAND PARK
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State | FL
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Zip | 33309-6467
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Country | US
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Telephone | 347-634-6469
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. HUSSEIN ANAN
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Credential | MD
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Telephone | 347-634-6469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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