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General NPI Number Information
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NPI Number | 1881434033
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Entity Type | Individual
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Provider Name | HILAL AZHAR
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Gender | Male
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Dates
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Enumeration Date | 05/27/2024
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Last Update Date | 05/27/2024
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Provider Practice Location Address
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Address Line | 49 S MAIN ST
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City | GLOVERSVILLE
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State | NY
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Zip | 12078-3809
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Country | US
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Telephone | 518-709-5672
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Fax |
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Provider Business Mailing Address
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Address Line | 25 DANNY LN
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City | AGAWAM
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State | MA
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Zip | 01001-3529
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Country | US
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Telephone |
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number | P7M8H9H3
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License Number State | MA
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