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General NPI Number Information
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NPI Number | 1710113220
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Entity Type | Organization
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Legal Business Name | M & D MEDICAL , PC
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Dates
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Enumeration Date | 06/10/2009
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Last Update Date | 06/10/2009
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Provider Practice Location Address
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Address Line | 1081 GATES AVE
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City | BROOKLYN
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State | NY
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Zip | 11221-4303
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Country | US
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Telephone | 718-443-7007
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Fax |
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Provider Business Mailing Address
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Address Line | 420 64TH ST APT 10A
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City | BROOKLYN
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State | NY
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Zip | 11220-4975
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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 | PRESIDENT
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Name | MUJAHID HUSSAIN
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Credential | MD
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Telephone | 718-443-7007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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