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General NPI Number Information
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NPI Number | 1245200989
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Entity Type | Organization
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Legal Business Name | MORGANTOWN PULMONARY ASSOCIATES PC
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 02/09/2010
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Provider Practice Location Address
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Address Line | 1265 PINEVIEW DR
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City | MORGANTOWN
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State | WV
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Zip | 26505-2713
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Country | US
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Telephone | 304-598-2336
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Fax | 304-598-3717
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Provider Business Mailing Address
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Address Line | 1265 PINEVIEW DR
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City | MORGANTOWN
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State | WV
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Zip | 26505-2713
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Country | US
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Telephone | 304-598-2336
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Fax | 304-598-3717
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROGER A ABRAHAMS
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Credential | M.D.
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Telephone | 304-598-2336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State | WV
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