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General NPI Number Information
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NPI Number | 1982700597
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Entity Type | Organization
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Legal Business Name | ALEX O HABIBE MD INC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 02/13/2009
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Provider Practice Location Address
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Address Line | 1383 E HERNDON AVE STE 105
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City | FRESNO
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State | CA
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Zip | 93720-3302
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Country | US
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Telephone | 559-233-4691
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Fax |
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Provider Business Mailing Address
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Address Line | 1383 E HERNDON AVE STE 105
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City | FRESNO
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State | CA
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Zip | 93720-3302
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Country | US
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Telephone | 559-233-4691
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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. ALEX O HABIBE
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Credential | MD
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Telephone | 559-233-4691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A91655
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License Number State | CA
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