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General NPI Number Information
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NPI Number | 1639736994
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Entity Type | Individual
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Provider Name | ELIZABETH ANN HABRECHT PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/22/2019
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 950 VICTORS WAY STE 10
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City | ANN ARBOR
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State | MI
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Zip | 48108-5217
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Country | US
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Telephone | 734-975-5000
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Fax | 734-975-0376
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Provider Business Mailing Address
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Address Line | PO BOX 40412
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City | BELFAST
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State | ME
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Zip | 04915-1255
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Country | US
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Telephone | 734-975-5000
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Fax | 734-975-0376
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601009193
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License Number State | MI
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