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NPI 1669457982

NPI 1669457982 : GREGORY FLINN HABIB D.O. : PITTSBURGH, PA

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General NPI Number Information
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    NPI Number           |    1669457982
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    Entity Type          |    Individual 
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    Provider Name        |    GREGORY FLINN HABIB D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/09/2005
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    Last Update Date     |    03/10/2016
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Provider Practice Location Address
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    Address Line         |    345 MOUNT LEBANON BLVD 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15234-1504
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    Country              |    US
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    Telephone            |    412-207-9780
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    Fax                  |    412-207-9782
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1116 
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    City                 |    WEXFORD
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    State                |    PA
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    Zip                  |    15090-1116
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    Country              |    US
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    Telephone            |    412-207-9780
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    Fax                  |    412-207-9782
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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        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    OS013015
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207XX0005X
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    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
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    License Number       |    OS013015
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    License Number State |    PA
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