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General NPI Number Information
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NPI Number | 1891627717
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Entity Type | Individual
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Provider Name | MAHA HABIB AHMED OD
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Gender | Female
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 1001 SYLVAN AVE STE B
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City | MODESTO
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State | CA
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Zip | 95350-1699
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Country | US
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Telephone | 209-575-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 4846 PORTER ST
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City | FREMONT
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State | CA
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Zip | 94538-2526
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Country | US
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Telephone | 510-358-5733
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 36217
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License Number State | CA
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