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General NPI Number Information
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NPI Number | 1669480505
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Entity Type | Individual
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Provider Name | HAZEM ABDEL-HAFEEZ AL-ASHHAB MD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 705 GARFIELD AVE STE 360
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City | PARKERSBURG
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State | WV
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Zip | 26101-5444
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Country | US
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Telephone | 304-424-4120
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Fax |
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Provider Business Mailing Address
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Address Line | 2335 CHESTERFIELD AVE SUITE 103
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City | CHARLESTON
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State | WV
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Zip | 25304-1066
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Country | US
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Telephone | 304-400-4911
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Fax | 304-400-4913
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 2023-03523
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 20498
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License Number State | WV
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