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General NPI Number Information
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NPI Number | 1316110877
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Entity Type | Organization
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Legal Business Name | HAJ MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 03/05/2013
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Provider Practice Location Address
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Address Line | 330 N. EISEHOWER DRIVE
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City | BECKLEY
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State | WV
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Zip | 25801
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Country | US
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Telephone | 304-929-0786
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Fax | 304-929-2278
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Provider Business Mailing Address
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Address Line | 330 N EISENHOWER DR
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City | BECKLEY
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State | WV
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Zip | 25801-4141
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Country | US
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Telephone | 304-929-0786
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Fax | 304-929-2278
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HASSAN ARSHAD JAFARY
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Credential | MD
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Telephone | 304-929-0786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 23054
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License Number State | WV
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