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General NPI Number Information
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NPI Number | 1447357991
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Entity Type | Individual
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Provider Name | MUHAMMAD WASI HAQ MD
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Gender | Male
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 09/13/2017
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Provider Practice Location Address
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Address Line | 1235 RAMSEY ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4401
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Country | US
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Telephone | 910-433-3600
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Fax | 910-321-7103
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Provider Business Mailing Address
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Address Line | 4301 FERNCREEK DRIVE
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-2543
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Country | US
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Telephone | 910-484-9302
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Fax | 910-484-9302
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 9701386
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9701386
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License Number State | NC
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