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General NPI Number Information
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NPI Number | 1043499916
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Entity Type | Organization
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Legal Business Name | HABIBA MEDICAL SERVICES PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 10039 BISSONNET ST STE 105
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City | HOUSTON
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State | TX
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Zip | 77036-7838
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Country | US
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Telephone | 713-771-5571
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Fax | 713-771-5514
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Provider Business Mailing Address
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Address Line | PO BOX 420961
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City | HOUSTON
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State | TX
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Zip | 77242-0961
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Country | US
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Telephone | 713-771-5572
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Fax | 713-771-5514
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Authorized Official
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Title or Position | OWNER
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Name | ABDUL ALHASSAN
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Credential |
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Telephone | 713-771-5572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K6794
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License Number State | TX
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