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General NPI Number Information
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NPI Number | 1730437716
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Entity Type | Organization
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Legal Business Name | AKKARY CENTER FOR WEIGHT MANAGEMENT & SURGICAL SERVICES
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Dates
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Enumeration Date | 08/21/2012
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Last Update Date | 04/23/2020
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Provider Practice Location Address
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Address Line | 1100 FORT PIERPONT DR
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City | MORGANTOWN
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State | WV
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Zip | 26508-1329
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Country | US
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Telephone | 304-241-1100
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Fax | 304-983-8800
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Provider Business Mailing Address
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Address Line | 1100 FORT PIERPONT DR
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City | MORGANTOWN
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State | WV
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Zip | 26508-1329
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Country | US
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Telephone | 304-241-1100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EHAB AKKARY
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Credential | MD
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Telephone | 304-692-0780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 23105
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License Number State | WV
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