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General NPI Number Information
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NPI Number | 1669778759
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Entity Type | Organization
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Legal Business Name | ROBERT HASBANY MD PLLC
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Dates
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Enumeration Date | 02/07/2011
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Last Update Date | 04/27/2011
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Provider Practice Location Address
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Address Line | 28200 JOHN R RD
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-2814
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Country | US
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Telephone | 248-547-1400
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Fax | 248-548-7208
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Provider Business Mailing Address
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Address Line | 28200 JOHN R RD
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-2814
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Country | US
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Telephone | 248-547-1400
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Fax | 248-548-7208
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Authorized Official
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Title or Position | BUISNESS MANAGER
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Name | CYNTHIA HASBANY
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Credential |
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Telephone | 248-547-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | RH064166
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License Number State | MI
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