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General NPI Number Information
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NPI Number | 1598804874
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Entity Type | Organization
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Legal Business Name | RHEUMATOLOGY ASSOCIATES PLLC
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 500 DONNALLY ST B 303
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City | CHARLESTON
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State | WV
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Zip | 25301
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Country | US
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Telephone | 304-343-3888
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Fax | 304-343-3565
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Provider Business Mailing Address
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Address Line | 500 DONNALLY ST B 303
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City | CHARLESTON
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State | WV
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Zip | 25301
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Country | US
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Telephone | 304-343-3888
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Fax | 304-343-3565
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL A ISTFAN
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Credential | MD
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Telephone | 304-343-3888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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