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General NPI Number Information
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NPI Number | 1619884590
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Entity Type | Individual
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Provider Name | MARINA S HABIB
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Gender | Female
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 6059 ARBURY WAY # 101
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City | COLLEGE DALE
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State | TN
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Zip | 37363-5001
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Country | US
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Telephone | 423-238-8880
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Fax |
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Provider Business Mailing Address
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Address Line | 204 ARKOW LN
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City | MURFREESBORO
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State | TN
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Zip | 37128-3837
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Country | US
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Telephone | 615-720-8938
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | TN
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