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General NPI Number Information
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NPI Number | 1649404534
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Entity Type | Organization
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Legal Business Name | MEHDI HABIBI, MD, INC.
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 09/11/2014
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Provider Practice Location Address
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Address Line | 1300 N VERMONT AVE SUITE 504
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City | LOS ANGELES
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State | CA
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Zip | 90027-6005
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Country | US
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Telephone | 323-665-4690
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Fax | 323-665-8637
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Provider Business Mailing Address
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Address Line | 1300 NORTH VERMONT AVE SUITE 504
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City | LOS ANGELES
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State | CA
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Zip | 90027-6005
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Country | US
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Telephone | 323-665-4690
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Fax | 323-665-8637
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MEHDI HABIBI
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Credential | M. D.
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Telephone | 323-665-4690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | A39878
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License Number State | CA
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