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General NPI Number Information
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NPI Number | 1346773462
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Entity Type | Individual
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Provider Name | WILLIAM HABERSTROH D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2017
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 825 OLD LANCASTER RD STE 340
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City | BRYN MAWR
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State | PA
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Zip | 19010-3235
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Country | US
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Telephone | 610-527-9570
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Fax | 610-527-8805
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Provider Business Mailing Address
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Address Line | 825 OLD LANCASTER RD STE 320
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City | BRYN MAWR
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State | PA
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Zip | 19010-3235
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Country | US
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Telephone | 610-527-3800
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | OS022869
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License Number State | PA
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