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General NPI Number Information
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NPI Number | 1386380152
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Entity Type | Individual
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Provider Name | HALEEMA JAVID MD
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Gender | Female
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Dates
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Enumeration Date | 05/05/2022
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 800 ROSE ST
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City | LEXINGTON
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State | KY
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Zip | 40536-7001
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Country | US
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Telephone | 859-323-6047
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Fax | 859-257-3873
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Provider Business Mailing Address
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Address Line | 1350 EAST MARKET STREET
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City | WARREN
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State | OH
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Zip | 44483
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Country | US
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Telephone | 330-841-1947
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Fax | 330-841-9645
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 60343
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License Number State | KY
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