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NPI 1861720922

NPI 1861720922 : HABBOUSI ENTERPRISES, INC. : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1861720922
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    Entity Type          |    Organization 
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    Legal Business Name  |    HABBOUSI ENTERPRISES, INC. 
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Dates
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    Enumeration Date     |    12/01/2009
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    Last Update Date     |    12/01/2009
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Provider Practice Location Address
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    Address Line         |    3502 MOLONA DR 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32837-5828
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    Country              |    US
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    Telephone            |    407-488-5385
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3502 MOLONA DR 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32837-5828
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    Country              |    US
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    Telephone            |    407-488-5385
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MS. MARGARET  JALLALI 
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    Credential           |    OTR/L
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    Telephone            |    407-488-5385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    OT9223
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    License Number State |    FL
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