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NPI 1457589509

NPI 1457589509 : AAZAZ UL HAQ M.D. : MC LEAN, VA

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General NPI Number Information
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    NPI Number           |    1457589509
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    Entity Type          |    Individual 
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    Provider Name        |    AAZAZ UL HAQ M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/28/2009
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    Last Update Date     |    01/08/2025
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Provider Practice Location Address
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    Address Line         |    6849 OLD DOMINION DR STE 315 
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    City                 |    MC LEAN
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    State                |    VA
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    Zip                  |    22101-3733
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    Country              |    US
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    Telephone            |    571-378-1398
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    Fax                  |    571-580-0620
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Provider Business Mailing Address
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    Address Line         |    6849 OLD DOMINION DR STE 315 
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    City                 |    MC LEAN
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    State                |    VA
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    Zip                  |    22101-3733
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    Country              |    US
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    Telephone            |    571-378-1398
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    Fax                  |    571-580-0620
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    A124259
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    0101270997
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    License Number State |    VA
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