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General NPI Number Information
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NPI Number | 1376026328
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Entity Type | Organization
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Legal Business Name | AZ HEALTH SERVICES LLC
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Dates
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Enumeration Date | 09/14/2018
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC 290 INDUSTRIAL PARK RD
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City | GREENSBURG
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State | KY
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Zip | 42743-1400
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Country | US
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Telephone | 270-932-4211
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Fax | 270-299-2041
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Provider Business Mailing Address
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Address Line | 1312 MOULTRIE CT
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City | LEXINGTON
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State | KY
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Zip | 40513-1942
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Country | US
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Telephone | 224-578-4016
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADIL M MOHIUDDIN
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Credential | MD
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Telephone | 224-578-4016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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