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General NPI Number Information
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NPI Number | 1740599802
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Entity Type | Organization
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Legal Business Name | AHAB INVESTMENT GROUP LLC
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Dates
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Enumeration Date | 10/06/2010
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Last Update Date | 10/06/2010
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Provider Practice Location Address
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Address Line | 3707 JARDIN ST
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City | HOUSTON
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State | TX
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Zip | 77005-3648
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Country | US
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Telephone | 713-993-7124
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Fax | 713-963-0476
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Provider Business Mailing Address
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Address Line | PO BOX 25214
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City | HOUSTON
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State | TX
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Zip | 77265-5214
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Country | US
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Telephone | 713-993-7124
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Fax | 713-963-0476
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT GEORGE MARVIN
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Credential | M.D.
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Telephone | 713-993-7124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | J7071
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License Number State | TX
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