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General NPI Number Information
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NPI Number | 1033142138
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Entity Type | Individual
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Provider Name | ASHFAQ AHSANUDDIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 09/14/2015
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Provider Practice Location Address
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Address Line | 1100 TUNNEL ROAD CHARLES GEORGE VAMC- ASHEVILLE
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City | ASHEVILLE
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State | NC
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Zip | 28805-1334
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Country | US
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Telephone | 828-299-2515
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Fax | 828-299-5885
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Provider Business Mailing Address
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Address Line | 1100 TUNNEL RD
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City | ASHEVILLE
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State | NC
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Zip | 28805-2576
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Country | US
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Telephone | 828-298-7911
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Fax | 828-299-5885
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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 | 20312
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2008-00231
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License Number State | NC
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