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General NPI Number Information
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NPI Number | 1710287636
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Entity Type | Individual
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Provider Name | SYED A HUSSAIN R PH
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Gender | Male
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 13814 OUTLET DR
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City | SILVER SPRING
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State | MD
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Zip | 20904-4970
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Country | US
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Telephone | 301-890-7015
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Fax | 301-890-2058
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Provider Business Mailing Address
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Address Line | 13814 OUTLET DR
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City | SILVER SPRING
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State | MD
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Zip | 20904-4970
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Country | US
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Telephone | 301-890-7015
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Fax | 301-890-2058
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14997
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License Number State | MD
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