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General NPI Number Information
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NPI Number | 1700807187
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Entity Type | Individual
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Provider Name | HABIBUR RAHMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 1435 WOODALL TRCE
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City | ALPHARETTA
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State | GA
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Zip | 30004-0676
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Country | US
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Telephone | 770-557-6061
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Fax |
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Provider Business Mailing Address
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Address Line | 1435 WOODALL TRCE
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City | ALPHARETTA
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State | GA
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Zip | 30004-0676
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Country | US
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Telephone | 770-557-6061
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 023209
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036059296
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | R5D06
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License Number State | MO
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