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General NPI Number Information
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NPI Number | 1902924202
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Entity Type | Organization
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Legal Business Name | RANGANATH HABBU, M.D.,PA
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1050 W PIPELINE RD STE 202
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City | HURST
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State | TX
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Zip | 76053-4731
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Country | US
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Telephone | 817-800-3578
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 W PIPELINE RD STE 202
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City | HURST
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State | TX
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Zip | 76053-4731
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Country | US
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Telephone |
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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. RANGANATH HABBU
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Credential |
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Telephone | 817-800-3578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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