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General NPI Number Information
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NPI Number | 1962135434
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Entity Type | Individual
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Provider Name | BAHAAELDIN LABIB MD
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Gender | Male
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Dates
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Enumeration Date | 07/02/2022
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 3401 CIVIC CENTER BLVD
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4319
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Country | US
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Telephone | 215-590-3174
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Fax |
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Provider Business Mailing Address
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Address Line | 135 SOMERSET ST APT 1110
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-2080
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Country | US
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Telephone | 732-910-8964
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | MT230258
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License Number State | PA
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Taxonomy #2
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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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