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General NPI Number Information
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NPI Number | 1649374950
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Entity Type | Individual
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Provider Name | MANUEL E BABAIAN MD
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Gender | Male
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 5700 N FEDERAL HWY #1
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308
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Country | US
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Telephone | 954-784-3131
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Fax | 954-900-2900
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Provider Business Mailing Address
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Address Line | PO BOX 667111
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City | POMPANO BEACH
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State | FL
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Zip | 33066
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Country | US
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Telephone | 954-784-3131
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Fax | 954-900-2900
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME73318
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License Number State | FL
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