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General NPI Number Information
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NPI Number | 1982807053
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Entity Type | Individual
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Provider Name | HAITHEM M. ELHADI BABIKER M.D., DMD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 3333 BURNET AVE ML 2020
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City | CINCINNATI
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State | OH
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Zip | 45229
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Country | US
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Telephone | 513-636-7181
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Fax | 513-636-7182
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Provider Business Mailing Address
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Address Line | 3333 BURNET AVE ML 2020
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City | CINCINNATI
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State | OH
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Zip | 45229-3026
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Country | US
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Telephone | 513-636-7181
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Fax | 513-636-7182
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 35.124054
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 35.124054
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License Number State | OH
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