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General NPI Number Information
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NPI Number | 1396961397
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Entity Type | Organization
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Legal Business Name | GEORGE P AZAR JR MD PA
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 10/25/2010
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Provider Practice Location Address
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Address Line | 6405 N FEDERAL HWY SUITE 300B
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-1412
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Country | US
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Telephone | 954-771-6047
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Fax | 954-771-0760
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Provider Business Mailing Address
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Address Line | 6405 N FEDERAL HWY SUITE 300B
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-1412
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Country | US
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Telephone | 954-771-6047
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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. GEORGE P AZAR JR.
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Credential | MD
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Telephone | 954-771-6047
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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 | ME56075
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License Number State | FL
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