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Individual

SYED TAQI HUSSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NURSE PRACTITIONER

Contact information

Practice address
8881 N MAIN ST, DAYTON, OH 45415-1333
(937) 832-5292
(937) 832-7505
Mailing address
308 FOREST EDGE DR, SOUTH LEBANON, OH 45065-8738
(502) 554-8488

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
025227
OH

Other

Enumeration date
12/26/2019
Last updated
12/26/2019
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