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General NPI Number Information
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NPI Number | 1306100086
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Entity Type | Individual
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Provider Name | IMNETT HABTES M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2012
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 9149 ESTATE THOMAS STE 202
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City | ST THOMAS
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State | VI
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Zip | 00802-3132
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Country | US
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Telephone | 727-519-5027
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Fax | 340-715-7949
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Provider Business Mailing Address
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Address Line | 280 1ST ST APT 2M
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City | MINEOLA
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State | NY
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Zip | 11501-2315
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Country | US
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Telephone |
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 2589
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License Number State | VI
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