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NPI Code Detail

MEDICARE: DR. BENITA LYNN HABER D.C.

MEDICARE:  DR. BENITA LYNN HABER  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor0006330FL

General Provider Information

NPI Number : 1306913082
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENITA LYNN HABER D.C.
Provider Business Mailing Address
First Line : 3836 W HILLSBORO BLVD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-9413
Country : US
Telephone Number : 954-421-2355
Fax Number : 954-421-6455
Provider Business Practice Location Address
First Line : 3836 W HILLSBORO BLVD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-9413
Country : US
Telephone Number : 954-421-2355
Fax Number : 954-421-6455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 07/08/2007

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Directions to “ DR. BENITA LYNN HABER D.C.” Practice Location

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