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General NPI Number Information
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NPI Number | 1437197860
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Entity Type | Individual
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Provider Name | MICHEL S HABASHY
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Gender | Male
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 918 ROLLING ACRES RD SUITE #6
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City | LADY LAKE
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State | FL
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Zip | 32159
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Country | US
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Telephone | 352-259-9970
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Fax | 352-259-9971
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Provider Business Mailing Address
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Address Line | 920 ROLLING ACRES RD UNIT 208
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City | LADY LAKE
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State | FL
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Zip | 32159-5029
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Country | US
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Telephone | 352-259-9970
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Fax | 352-259-9971
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME77064
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License Number State | FL
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