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NPI 1770056988

NPI 1770056988 : FRANK HABI DPT : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1770056988
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    Entity Type          |    Individual 
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    Provider Name        |    FRANK HABI DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/10/2019
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    Last Update Date     |    02/18/2020
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Provider Practice Location Address
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    Address Line         |    88 E 4TH ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10003-9001
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    Country              |    US
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    Telephone            |    917-261-5201
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    Fax                  |    917-261-5208
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Provider Business Mailing Address
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    Address Line         |    576 BROADHOLLOW RD 
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    City                 |    MELVILLE
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    State                |    NY
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    Zip                  |    11747-5002
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    Country              |    US
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    Telephone            |    631-359-5859
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    Fax                  |    631-396-0864
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    27436
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    J1-0004021
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    License Number State |    DE
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    043905
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    License Number State |    NY
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