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General NPI Number Information
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NPI Number | 1942543384
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Entity Type | Organization
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Legal Business Name | INSTITUTE OF DIABETES HORMONE AND METABOLISM, PA
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 902 PRESKITT RD STE 100
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City | DECATUR
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State | TX
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Zip | 76234-4101
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Country | US
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Telephone | 940-626-2470
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Fax | 940-626-2471
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Provider Business Mailing Address
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Address Line | PO BOX 2228
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City | DECATUR
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State | TX
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Zip | 76234-6159
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Country | US
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Telephone | 940-626-2470
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Fax | 940-626-2471
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. SYED NAVEED HUSSAIN
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Credential | MD
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Telephone | 940-626-2470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | P5190
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License Number State | TX
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