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General NPI Number Information
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NPI Number | 1811932445
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Entity Type | Organization
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Legal Business Name | DR. M. F. ANWAR, INC
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 3065 MAIN ST
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City | WEIRTON
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State | WV
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Zip | 26062-4709
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Country | US
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Telephone | 304-748-1102
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Fax | 304-748-1104
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Provider Business Mailing Address
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Address Line | 1500 LAFAYETTE AVE
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City | MOUNDSVILLE
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State | WV
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Zip | 26041-2345
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Country | US
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Telephone | 304-845-0908
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Fax | 304-845-1250
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHAMMAD FAROOQ ANWAR
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Credential | MD
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Telephone | 304-845-0908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 000606
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License Number State | WV
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