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General NPI Number Information
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NPI Number | 1942034822
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Entity Type | Individual
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Provider Name | MUHAMMAD KABBANI MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2024
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Last Update Date | 08/31/2024
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Provider Practice Location Address
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Address Line | 4630 S IRVINGTON AVE
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City | TULSA
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State | OK
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Zip | 74135-6851
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Country | US
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Telephone | 918-732-9015
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Fax |
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Provider Business Mailing Address
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Address Line | 5836 S MAPLEWOOD AVE
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City | TULSA
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State | OK
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Zip | 74135-7665
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Country | US
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Telephone | 918-407-1595
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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