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General NPI Number Information
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NPI Number | 1689098311
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Entity Type | Individual
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Provider Name | SYED A HASSAN MD
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Gender | Male
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Dates
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Enumeration Date | 02/17/2014
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 1078 CHESAPEAKE COVE DR
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City | LAFAYETTE
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State | IN
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Zip | 47909-3685
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Country | US
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Telephone | 312-404-6995
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Fax |
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Provider Business Mailing Address
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Address Line | 1078 CHESAPEAKE COVE DR
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City | LAFAYETTE
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State | IN
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Zip | 47909-3685
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Country | US
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Telephone | 312-404-6995
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 01085870A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036-149825
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 49214
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD198461
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License Number State | OR
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