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General NPI Number Information
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NPI Number | 1790123289
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Entity Type | Individual
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Provider Name | MAHJABEEN HAQ D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 500 W MAIN ST STE 110
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City | BABYLON
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State | NY
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Zip | 11702-3028
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Country | US
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Telephone | 631-376-2663
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Fax | 631-376-4800
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Provider Business Mailing Address
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Address Line | 25 BEAUMONT DR
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City | PLAINVIEW
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State | NY
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Zip | 11803-2507
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Country | US
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Telephone | 455-361-0578
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 2835691
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License Number State | NY
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