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General NPI Number Information
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NPI Number | 1447242557
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Entity Type | Individual
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Provider Name | KARIM ABDUL KATRIB M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 400 DIVISION ST SUITE 12
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25309-1459
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Country | US
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Telephone | 304-766-3473
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Fax | 304-766-3664
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Provider Business Mailing Address
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Address Line | 400 DIVISION ST SUITE 12
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25309-1459
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Country | US
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Telephone | 304-766-3473
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Fax | 304-766-3664
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | WV14043
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 14043
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License Number State | WV
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