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General NPI Number Information
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NPI Number | 1649359944
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Entity Type | Individual
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Provider Name | GHASSAN HANI KANJ M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 99 J D ANDERSON DR SUITE 5A
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City | MORGANTOWN
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State | WV
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Zip | 26505-4000
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Country | US
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Telephone | 304-598-2801
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Fax | 304-599-6463
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Provider Business Mailing Address
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Address Line | 99 J D ANDERSON DR SUITE 5A
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City | MORGANTOWN
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State | WV
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Zip | 26505-4000
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Country | US
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Telephone | 304-598-2801
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Fax | 304-599-6463
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | C1-0024495
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 19742
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | MD453818
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MD453818
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License Number State | PA
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