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General NPI Number Information
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NPI Number | 1326156027
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Entity Type | Organization
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Legal Business Name | MERIT HEALTH CARE, PC
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 729 BATTLE ST E
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City | TALLADEGA
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State | AL
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Zip | 35160-2546
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Country | US
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Telephone | 256-761-2955
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Fax | 256-761-2787
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Provider Business Mailing Address
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Address Line | PO BOX 2038
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City | SYLACAUGA
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State | AL
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Zip | 35150-5038
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Country | US
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Telephone | 256-249-0028
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Fax | 256-249-0019
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Authorized Official
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Title or Position | OWNER
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Name | DR. GHAYAS ALI HABACH
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Credential | M.D., M.P.H.
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Telephone | 256-249-0028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 17714
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License Number State | AL
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