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General NPI Number Information
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NPI Number | 1306235791
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Entity Type | Individual
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Provider Name | MICHAEL GHABOUR
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Gender | Male
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 01/22/2015
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Provider Practice Location Address
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Address Line | 5301 YOUNG ST
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City | BAKERSFIELD
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State | CA
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Zip | 93311-8978
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Country | US
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Telephone | 661-377-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 3617 PUEBLO CT
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City | BAKERSFIELD
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State | CA
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Zip | 93311-2703
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Country | US
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Telephone | 661-247-9675
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 71462
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 18419
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License Number State | AL
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