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General NPI Number Information
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NPI Number | 1881897205
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Entity Type | Individual
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Provider Name | MURTUZA H HABEEB MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 1075 N CURTIS RD STE 101
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City | BOISE
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State | ID
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Zip | 83706-1348
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Country | US
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Telephone | 208-302-2800
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Fax | 208-302-2825
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Provider Business Mailing Address
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Address Line | 789 CENTRAL AVENUE
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City | DOVER
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State | NH
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Zip | 03820-2526
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Country | US
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Telephone | 603-516-4265
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Fax | 603-740-2173
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 036116332
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | LT-3493
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 2261978
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License Number State | ID
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