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General NPI Number Information
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NPI Number | 1952368409
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Entity Type | Individual
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Provider Name | CORY KHURRAM HUSSAIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 45 CASTRO ST STE 125
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1032
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Country | US
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Telephone | 415-600-4900
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Fax | 415-369-1365
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Provider Business Mailing Address
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Address Line | PO BOX 276950
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City | SACRAMENTO
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State | CA
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Zip | 95827-6950
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Country | US
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Telephone | 415-600-4900
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Fax | 415-369-1365
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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 | 40764
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 35123218
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C145278
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License Number State | CA
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