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General NPI Number Information
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NPI Number | 1790837243
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Entity Type | Organization
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Legal Business Name | STUART W. HABER, MD PC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 12A SHERIDAN SQ
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City | NEW YORK
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State | NY
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Zip | 10014-6824
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Country | US
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Telephone | 212-929-2370
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Fax |
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Provider Business Mailing Address
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Address Line | 12A SHERIDAN SQ
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City | NEW YORK
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State | NY
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Zip | 10014-6824
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Country | US
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Telephone | 212-929-2370
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STUART W HABER
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Credential | M.D.
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Telephone | 212-929-2370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 178060
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License Number State | NY
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