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General NPI Number Information
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NPI Number | 1538356696
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Entity Type | Organization
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Legal Business Name | MOHAMED AND REHANA HUSSAIN MD, PA
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 7 POST OFFICE RD STE A
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City | WALDORF
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State | MD
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Zip | 20602-2744
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Country | US
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Telephone | 301-893-0666
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Fax | 301-934-9321
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Provider Business Mailing Address
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Address Line | 10100 QUINCE APPLE CT
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City | UPPER MARLBORO
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State | MD
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Zip | 20772-3871
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Country | US
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Telephone | 301-893-0666
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Fax | 301-934-9321
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Authorized Official
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Title or Position | MD, PRESIDENT
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Name | REHANA A HUSSAIN
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Credential | MD
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Telephone | 301-943-4443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | D43557
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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