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General NPI Number Information
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NPI Number | 1942620182
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Entity Type | Organization
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Legal Business Name | ALWAHHAB PLLC
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Dates
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Enumeration Date | 04/25/2014
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Last Update Date | 04/25/2014
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Provider Practice Location Address
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Address Line | 330 N EISENHOWER DR
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City | BECKLEY
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State | WV
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Zip | 25801-4141
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Country | US
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Telephone | 304-786-9036
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 283
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City | STANAFORD
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State | WV
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Zip | 25927-0283
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Country | US
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Telephone | 304-786-9036
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SHERISH ZAFAR
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Credential |
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Telephone | 304-673-6256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2678
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License Number State | WV
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