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General NPI Number Information
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NPI Number | 1609293000
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Entity Type | Organization
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Legal Business Name | RUBABA HUSSAIN MD
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Dates
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Enumeration Date | 03/24/2014
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Last Update Date | 03/24/2014
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Provider Practice Location Address
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Address Line | 1428 TEANECK RD
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City | TEANECK
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State | NJ
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Zip | 07666-5030
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Country | US
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Telephone | 312-933-8057
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Fax | 201-733-9109
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Provider Business Mailing Address
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Address Line | PO BOX 423
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City | UPPER SADDLE RIVER
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State | NJ
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Zip | 07458-0423
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Country | US
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Telephone | 312-933-8057
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Fax | 201-733-9109
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Authorized Official
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Title or Position | MD
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Name | RUBABA HUSSAIN
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Credential | M.D.
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Telephone | 312-933-8057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA09363800
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License Number State | NJ
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