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General NPI Number Information
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NPI Number | 1710803762
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Entity Type | Individual
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Provider Name | KAMRUL ISLAM MD
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Gender | Male
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 2219 RIMLAND DR STE 301
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City | BELLINGHAM
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State | WA
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Zip | 98226-8759
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Country | US
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Telephone | 855-722-9700
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Fax | 844-222-0800
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Provider Business Mailing Address
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Address Line | 28551 PANAMA ST
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City | WARREN
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State | MI
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Zip | 48092-2363
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Country | US
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Telephone | 248-571-3020
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MDCE.ML.70130031
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License Number State | WA
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