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General NPI Number Information
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NPI Number | 1275073520
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Entity Type | Individual
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Provider Name | HALIM NAJIB
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Gender | Male
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 1301 SHILOH RD NW
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City | KENNESAW
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State | GA
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Zip | 30144-7147
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Country | US
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Telephone | 770-289-3486
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Fax |
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Provider Business Mailing Address
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Address Line | 5944 HIGHWAY 92 SUITE 100, UNIT 2811
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City | ACWORTH
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State | GA
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Zip | 30102
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Country | US
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Telephone | 770-289-3486
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number | 063690373
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License Number State | GA
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