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General NPI Number Information
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NPI Number | 1477866549
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Entity Type | Individual
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Provider Name | MISHA HABIB M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2010
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 8 MEDICAL PLAZA DR
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City | ROSEVILLE
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State | CA
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Zip | 95661-3106
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Country | US
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Telephone | 916-887-4660
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 255228
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City | SACRAMENTO
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State | CA
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Zip | 95865-5228
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT196108
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA009210200
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C157931
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License Number State | CA
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