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General NPI Number Information
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NPI Number | 1316031990
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Entity Type | Individual
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Provider Name | HEBA LABIB KALDAS BS
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3087 WESTWOOD ROAD
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City | AUGUSTA
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State | GA
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Zip | 30909
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Country | US
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Telephone | 706-736-2093
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Fax | 706-359-5734
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Provider Business Mailing Address
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Address Line | P O BOX 368 114 MAIN STREET
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City | LINCOLNTON
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State | GA
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Zip | 30817
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Country | US
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Telephone | 706-359-1836
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Fax | 706-359-5734
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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 | 019712
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License Number State | GA
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