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General NPI Number Information
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NPI Number | 1679187876
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Entity Type | Individual
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Provider Name | MARIAM GHAFOOR MD
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Gender | Female
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Dates
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Enumeration Date | 09/04/2020
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1600 MEDICAL CENTER DRIVE
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City | HUNTINGTON
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State | WV
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Zip | 25701-3656
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Country | US
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Telephone | 304-691-8850
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Fax | 304-523-9470
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Provider Business Mailing Address
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Address Line | 1448 10TH AVENUE SUITE 304
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City | HUNTINGTON
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State | WV
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Zip | 25701-3579
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Country | US
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Telephone | 304-733-8728
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Fax | 304-691-8591
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MT220725
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 76074
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 34515
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License Number State | WV
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