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General NPI Number Information
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NPI Number | 1972513554
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Entity Type | Individual
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Provider Name | TARIQ HUSSAIN MD
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Gender | Male
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/22/2014
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Provider Practice Location Address
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Address Line | 179 N BROAD ST
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City | NORWICH
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State | NY
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Zip | 13815-1019
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Country | US
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Telephone | 607-337-4950
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Fax | 607-337-4915
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Provider Business Mailing Address
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Address Line | 179 N BROAD ST
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City | NORWICH
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State | NY
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Zip | 13815-1019
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Country | US
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Telephone | 607-337-4271
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Fax | 607-337-4049
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 002246
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 241608
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License Number State | NY
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