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General NPI Number Information
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NPI Number | 1174668594
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Entity Type | Organization
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Legal Business Name | AHMED D FAHEEM
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1014 JOHNSTOWN RD
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City | BECKLEY
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State | WV
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Zip | 25802-1128
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Country | US
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Telephone | 304-252-4433
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Fax | 304-252-1703
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Provider Business Mailing Address
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Address Line | 1014 JOHNSTOWN RD PO BOX 1128
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City | BECKLEY
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State | WV
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Zip | 25802-1128
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Country | US
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Telephone | 304-252-4433
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Fax | 304-252-1703
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Authorized Official
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Title or Position | OWNER
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Name | DR. AHMED D FAHEEM
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Credential | MD
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Telephone | 304-252-4433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1262
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 436
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 829
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 12885
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License Number State | WV
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 19588
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License Number State | WV
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Taxonomy #6
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 541
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License Number State | WV
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