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General NPI Number Information
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NPI Number | 1679535645
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Entity Type | Individual
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Provider Name | HUNED MUZAFFER HUSAIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 1650 W COLLEGE ST BOX 77
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City | GRAPEVINE
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State | TX
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Zip | 76051-3565
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Country | US
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Telephone | 817-385-9988
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Fax | 817-385-6560
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Provider Business Mailing Address
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Address Line | 1650 W COLLEGE ST # 62
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City | GRAPEVINE
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State | TX
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Zip | 76051-3565
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Country | US
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Telephone | 214-989-6353
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Fax | 214-617-0507
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L6952
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License Number State | TX
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