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General NPI Number Information
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NPI Number | 1497463889
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Entity Type | Individual
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Provider Name | HIBA AHMED DC
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Gender | Female
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 1999 MOWRY AVE
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City | FREMONT
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State | CA
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Zip | 94538-1738
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Country | US
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Telephone | 319-594-2212
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1252
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City | SAN LEANDRO
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State | CA
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Zip | 94577-7725
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 36493
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License Number State | CA
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