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General NPI Number Information
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NPI Number | 1467806448
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Entity Type | Individual
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Provider Name | HABAKUK MICHEL MD
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Gender | Male
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Dates
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Enumeration Date | 04/16/2016
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 6000 US 98 WEST
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City | PENSACOLA
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State | FL
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Zip | 32512-3414
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Country | US
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Telephone | 850-505-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 3250 SAWTELLE BLVD APARTMENT 101
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City | LOS ANGELES
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State | CA
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Zip | 90066-1664
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Country | US
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Telephone | 443-400-3827
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A151611
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME142526
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License Number State | FL
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