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General NPI Number Information
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NPI Number | 1366980633
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Entity Type | Organization
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Legal Business Name | WASEEM I AZIZ MD PC
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 02/07/2017
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Provider Practice Location Address
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Address Line | 44045 RIVERSIDE PKWY
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City | LEESBURG
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State | VA
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Zip | 20176-5101
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Country | US
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Telephone | 703-609-6362
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Fax |
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Provider Business Mailing Address
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Address Line | 714 WALKER RD
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City | GREAT FALLS
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State | VA
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Zip | 22066-2802
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Country | US
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Telephone | 703-609-6392
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WASEEM ISMAIL AZIZ
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Credential | MD
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Telephone | 703-609-6362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 0101238422
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License Number State | VA
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