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General NPI Number Information
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NPI Number | 1770615981
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Entity Type | Individual
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Provider Name | RAFIQ A HUSSAIN MD
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Gender | Male
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 02/17/2015
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Provider Practice Location Address
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Address Line | 18660 BAGLEY RD 301 PHASE II
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City | CLEVELAND
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State | OH
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Zip | 44130-3483
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Country | US
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Telephone | 440-243-7878
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Fax | 440-243-1290
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Provider Business Mailing Address
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Address Line | PO BOX 45318
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City | WESTLAKE
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State | OH
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Zip | 44145-0318
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Country | US
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Telephone | 440-243-7878
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Fax | 440-243-1290
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 35034432
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 246ZN0300X
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Taxonomy Name | Nephrology Specialist/Technologist
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License Number | 35034432
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License Number State | OH
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