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General NPI Number Information
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NPI Number | 1609001908
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Entity Type | Individual
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Provider Name | KAUSAR HAMIDUZZAMAN
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Gender | Female
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Dates
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Enumeration Date | 05/16/2009
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 615 S PRESTON ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-1715
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Country | US
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Telephone | 502-852-7350
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Fax |
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Provider Business Mailing Address
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Address Line | 615 S PRESTON ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-1715
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Country | US
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Telephone |
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | TP318
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 45204
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 45204
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License Number State | KY
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