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General NPI Number Information
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NPI Number | 1487709333
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Entity Type | Individual
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Provider Name | HUMERA HAMID M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 05/27/2009
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Provider Practice Location Address
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Address Line | 510 SPRING STREET
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-3554
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Country | US
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Telephone | 812-282-1888
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Fax | 812-285-8393
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Provider Business Mailing Address
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Address Line | 510 SPRING ST
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-3554
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Country | US
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Telephone | 812-282-1888
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Fax | 812-285-8393
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 11011866A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01063275A
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License Number State | IN
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