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General NPI Number Information
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NPI Number | 1851361067
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Entity Type | Individual
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Provider Name | JAMES TALAT AL-HUSSAINI MD
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 131 MEDICAL PARK RD SUITE 102
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City | MOORESVILLE
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State | NC
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Zip | 28117-8522
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Country | US
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Telephone | 704-663-1282
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Fax | 704-663-1413
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Provider Business Mailing Address
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Address Line | 131 MEDICAL PARK RD SUITE 102
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City | MOORESVILLE
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State | NC
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Zip | 28117-8522
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Country | US
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Telephone | 704-663-1282
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Fax | 704-663-1413
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 200100827
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License Number State | NC
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