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General NPI Number Information
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NPI Number | 1134463474
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Entity Type | Organization
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Legal Business Name | HABASH MD
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Dates
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Enumeration Date | 11/26/2012
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Last Update Date | 08/25/2014
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Provider Practice Location Address
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Address Line | 1100 E SOUTHLAKE BLVD SUITE 250
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6357
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Country | US
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Telephone | 817-484-0222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 190922
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City | DALLAS
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State | TX
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Zip | 75219-0922
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Country | US
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Telephone | 817-484-0222
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. AMEEN HABASH
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Credential | MD
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Telephone | 817-484-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | P1459
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License Number State | TX
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