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General NPI Number Information
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NPI Number | 1770515678
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Entity Type | Individual
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Provider Name | MICHAEL C HABEN MD, MSC
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 01/18/2011
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Provider Practice Location Address
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Address Line | 980 WESTFALL RD BLDG 100, STE 127
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City | ROCHESTER
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State | NY
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Zip | 14618-2605
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Country | US
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Telephone | 585-442-1110
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Fax | 585-730-8151
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Provider Business Mailing Address
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Address Line | 980 WESTFALL RD BLDG 100, STE 127
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City | ROCHESTER
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State | NY
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Zip | 14618-2605
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Country | US
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Telephone | 585-442-1110
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Fax | 585-730-8151
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 230501
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License Number State | NY
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