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General NPI Number Information
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NPI Number | 1811371321
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Entity Type | Organization
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Legal Business Name | HEART & VASCULAR MEDICAL CENTER PLLC
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 07/14/2015
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Provider Practice Location Address
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Address Line | 427 CARRIAGE DR
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City | BECKLEY
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State | WV
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Zip | 25801-2805
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Country | US
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Telephone | 304-633-5052
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Fax |
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Provider Business Mailing Address
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Address Line | 427 CARRIAGE DR
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City | BECKLEY
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State | WV
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Zip | 25801-2805
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Country | US
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Telephone | 304-633-5052
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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. ABDRHMAN HAMO
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Credential | M.D.
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Telephone | 304-633-5052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25580
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License Number State | WV
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