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General NPI Number Information
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NPI Number | 1114349412
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Entity Type | Individual
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Provider Name | SHERIN HABASHY
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Gender | Male
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Dates
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Enumeration Date | 01/06/2014
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Last Update Date | 01/06/2014
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Provider Practice Location Address
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Address Line | 1002 E M 21
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City | OWOSSO
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State | MI
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Zip | 48867-9007
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Country | US
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Telephone | 989-723-6756
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Fax |
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Provider Business Mailing Address
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Address Line | 830 W CORUNNA AVE APT 7 B
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City | CORUNNA
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State | MI
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Zip | 48817-1274
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Country | US
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Telephone | 773-603-5601
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302040625
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License Number State | MI
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