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General NPI Number Information
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NPI Number | 1558709535
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Entity Type | Organization
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Legal Business Name | MEDLINK MEDICAL ASSOCIATES, PA
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 06/12/2013
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Provider Practice Location Address
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Address Line | 2031 MARTIN LUTHER KING JR DR STE A
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City | GREENSBORO
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State | NC
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Zip | 27406-3300
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Country | US
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Telephone | 336-641-2100
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Fax | 336-641-2110
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Provider Business Mailing Address
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Address Line | 8518 ROSEDALE DR
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City | OAK RIDGE
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State | NC
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Zip | 27310-8712
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Country | US
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Telephone | 336-641-2100
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Fax | 336-641-2110
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAMI ABDUS HASSAN
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Credential | M.D.
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Telephone | 336-641-2100
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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 | 9501704
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License Number State | NC
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