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General NPI Number Information
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NPI Number | 1437367398
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Entity Type | Individual
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Provider Name | ANITA AZAM M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 3601 A. STREET ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
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City | PHILADELPHIA
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State | PA
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Zip | 19134
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Country | US
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Telephone | 215-427-8100
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Fax | 215-427-8105
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Provider Business Mailing Address
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Address Line | 3601 A. STREET ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN - ENDOCRINOLOGY
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City | PHILADELPHIA
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State | PA
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Zip | 19134
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Country | US
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Telephone | 215-427-5000
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Fax | 215-427-8105
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 81095
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 2007-01232
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License Number State | NC
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