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General NPI Number Information
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NPI Number | 1548656770
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Entity Type | Individual
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Provider Name | BEHNUM HABIBI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 9155 SW BARNES RD STE 836
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City | PORTLAND
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State | OR
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Zip | 97225-6635
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Country | US
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Telephone | 503-210-5195
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Fax | 503-303-8405
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Provider Business Mailing Address
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Address Line | 3500 N BROAD ST # 1A
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City | PHILADELPHIA
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State | PA
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Zip | 19140-4106
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Country | US
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Telephone | 215-707-3646
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD471173
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | MD222220
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License Number State | OR
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