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General NPI Number Information
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NPI Number | 1982665154
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Entity Type | Individual
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Provider Name | SHAHID HABIB MD
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Gender | Male
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 1124 COLUMBIA ST STE 600
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City | SEATTLE
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State | WA
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Zip | 98104-2046
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Country | US
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Telephone | 206-386-3660
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Fax | 206-386-3644
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Provider Business Mailing Address
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Address Line | PO BOX 25608
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City | SALT LAKE CITY
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State | UT
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Zip | 84125-0608
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Country | US
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Telephone | 206-320-4476
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Fax | 206-568-7043
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 43691
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 4641
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 14197
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number | 4641
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number | 43691
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 207RT0003X
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Taxonomy Name | Transplant Hepatology Physician
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License Number | MD61516162
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License Number State | WA
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