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General NPI Number Information
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NPI Number | 1164912432
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Entity Type | Individual
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Provider Name | HIBA BILAL DO
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Gender | Female
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Dates
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Enumeration Date | 05/12/2018
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 750 E ADAMS ST
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City | SYRACUSE
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State | NY
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Zip | 13210-2306
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Country | US
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Telephone | 315-464-5240
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Fax |
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Provider Business Mailing Address
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Address Line | 4603 PROVIDENCE RD
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City | JAMESVILLE
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State | NY
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Zip | 13078-6503
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Country | US
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Telephone | 207-299-3429
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | H97645
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | H97645
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License Number State | MD
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