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General NPI Number Information
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NPI Number | 1083640353
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Entity Type | Individual
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Provider Name | HALEH TABRAH M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 4240 5TH AVE SW
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City | NAPLES
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State | FL
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Zip | 34119-2909
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Country | US
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Telephone | 305-814-5570
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Fax |
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Provider Business Mailing Address
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Address Line | 4240 5TH AVE SW
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City | NAPLES
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State | FL
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Zip | 34119-2909
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Country | US
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Telephone | 305-814-5530
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 04-46121
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35-07-9156-T
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2022014769
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME76909
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License Number State | FL
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