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General NPI Number Information
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NPI Number | 1801878806
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Entity Type | Individual
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Provider Name | AZMI DRAW MD
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Gender | Male
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 01/19/2015
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Provider Practice Location Address
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Address Line | 10214 WORTHINGTON LN
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City | PROSPECT
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State | KY
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Zip | 40059-8551
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Country | US
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Telephone | 502-216-0191
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Fax |
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Provider Business Mailing Address
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Address Line | 10214 WORTHINGTON LN
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City | PROSPECT
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State | KY
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Zip | 40059-8551
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Country | US
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Telephone | 502-216-0191
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Fax |
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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 | 26883
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License Number State | KY
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Taxonomy #2
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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 | 36883
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License Number State | KY
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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 | 36883
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License Number State | KY
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