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General NPI Number Information
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NPI Number | 1720480429
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Entity Type | Organization
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Legal Business Name | LABBAF NEUROLOGY LLC
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Dates
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Enumeration Date | 09/24/2014
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 2296 OPITZ BLVD STE 260
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3352
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Country | US
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Telephone | 571-989-3090
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Fax | 571-234-6721
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Provider Business Mailing Address
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Address Line | 2296 OPITZ BLVD STE 260
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3352
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Country | US
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Telephone | 571-989-3090
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Fax | 571-234-6721
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHAMMADHAMED LABBAF
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Credential | M.D.
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Telephone | 571-989-3090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 0101253229
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License Number State | VA
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