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General NPI Number Information
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NPI Number | 1972065704
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Entity Type | Organization
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Legal Business Name | JOSEPH A HABIS MD
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 04/01/2019
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Provider Practice Location Address
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Address Line | 359 BEL MARIN KEYS BLVD STE 22
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City | NOVATO
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State | CA
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Zip | 94949-5637
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Country | US
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Telephone | 415-287-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 116 BLACKSTONE DR
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City | SAN RAFAEL
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State | CA
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Zip | 94903-1506
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Country | US
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Telephone | 415-497-0700
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ERIC TAYLOR
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Credential |
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Telephone | 415-497-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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