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General NPI Number Information
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NPI Number | 1407840572
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Entity Type | Individual
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Provider Name | JOHN J AZAR MD, FACP
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Gender | Male
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 1200 J D ANDERSON DR
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City | MORGANTOWN
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State | WV
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Zip | 26505-3494
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Country | US
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Telephone | 304-598-6560
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Fax | 304-285-2667
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Provider Business Mailing Address
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Address Line | PO BOX 1286
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City | FAIRMONT
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State | WV
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Zip | 26555-1286
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Country | US
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Telephone | 304-366-0111
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Fax | 304-366-2099
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 17192
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License Number State | WV
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