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NPI 1528142130

NPI 1528142130 : RAHMA AHMED HASSAN MD : GASTONIA, NC

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General NPI Number Information
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    NPI Number           |    1528142130
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    Entity Type          |    Individual 
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    Provider Name        |    RAHMA AHMED HASSAN MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/24/2006
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    Last Update Date     |    12/19/2018
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Provider Practice Location Address
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    Address Line         |    2525 COURT DR 
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    City                 |    GASTONIA
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    State                |    NC
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    Zip                  |    28054
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    Country              |    US
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    Telephone            |    704-834-2000
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    Fax                  |    704-834-2500
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Provider Business Mailing Address
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    Address Line         |    2555 COURT DR STE 270 
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    City                 |    GASTONIA
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    State                |    NC
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    Zip                  |    28054-2185
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    Country              |    US
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    Telephone            |    704-834-4390
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    Fax                  |    704-834-3274
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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        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    0101244790
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    2013-01676
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    License Number State |    NC
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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       |    2013-01676
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    License Number State |    NC
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