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NPI Code Detail

MEDICARE: HIBAK ABDIRAHMAN

MEDICARE: HIBAK ABDIRAHMAN
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1871203000
Entity Type Code : Individual
Provider Name (Legal Business Name) : HIBAK ABDIRAHMAN
Provider Business Mailing Address
First Line : 1517 HIGHWAY 13 E
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-2917
Country : US
Telephone Number : 612-756-9107
Fax Number :
Provider Business Practice Location Address
First Line : 1517 HIGHWAY 13 E
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-2917
Country : US
Telephone Number : 612-756-9107
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2022
Last Update Date : 03/11/2026

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Directions to “ HIBAK ABDIRAHMAN ” Practice Location

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