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General NPI Number Information
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NPI Number | 1891985040
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Entity Type | Organization
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Legal Business Name | HABIB MEDICAL LLC
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 08/23/2007
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Provider Practice Location Address
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Address Line | 210 N SANDHILL BLVD
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City | MESQUITE
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State | NV
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Zip | 89027-4789
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Country | US
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Telephone | 702-345-5000
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Fax | 702-345-2000
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Provider Business Mailing Address
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Address Line | PO BOX 417
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City | MESQUITE
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State | NV
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Zip | 89024-0417
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Country | US
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Telephone | 702-345-5000
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Fax | 702-345-2000
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Authorized Official
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Title or Position | PRACTICE OWNER/PRESIDENT
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Name | DR. ASMA HABIB
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Credential | M.D.
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Telephone | 702-345-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 8087
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License Number State | NV
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