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General NPI Number Information
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NPI Number | 1932481264
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Entity Type | Organization
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Legal Business Name | HUSSNY FAMILY PRACTICE
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Dates
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Enumeration Date | 09/13/2011
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 7120 HERITAGE VILLAGE PLAZA SUITE 102
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City | GAINESVILLE
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State | VA
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Zip | 20155
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Country | US
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Telephone | 571-248-2985
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Fax | 571-248-2976
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Provider Business Mailing Address
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Address Line | 7120 HERITAGE VILLAGE PLAZA SUITE 102
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City | GAINESVILLE
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State | VA
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Zip | 20155
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Country | US
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Telephone | 571-248-2985
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Fax | 571-248-2985
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. EMMAN HUSSNY
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Credential | M.D.
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Telephone | 571-248-2985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101231752
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License Number State | VA
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