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General NPI Number Information
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NPI Number | 1184617946
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Entity Type | Individual
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Provider Name | BETH E HABERMAN MD
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Gender | Female
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Dates
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Enumeration Date | 08/26/2005
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Last Update Date | 07/14/2010
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Provider Practice Location Address
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Address Line | 3333 BURNET AVE ML 7009
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City | CINCINNATI
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State | OH
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Zip | 45229-3039
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Country | US
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Telephone | 513-636-4830
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Fax | 513-636-7868
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Provider Business Mailing Address
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Address Line | 3333 BURNET AVE ML 7009
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City | CINCINNATI
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State | OH
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Zip | 45229-3039
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Country | US
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Telephone | 513-636-4830
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Fax | 513-636-7868
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 36541
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 36541
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 36541
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 35067806
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License Number State | OH
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