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General NPI Number Information
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NPI Number | 1023258795
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Entity Type | Organization
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Legal Business Name | HAYSAM AKKAD, MD, PC
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Dates
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Enumeration Date | 02/20/2009
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Last Update Date | 07/13/2009
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Provider Practice Location Address
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Address Line | 4239 FARNAM ST #100
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City | OMAHA
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State | NE
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Zip | 68131-2868
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Country | US
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Telephone | 402-552-2320
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Fax | 402-552-2330
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Provider Business Mailing Address
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Address Line | 4239 FARNAM ST #100
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City | OMAHA
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State | NE
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Zip | 68131-2868
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Country | US
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Telephone | 402-552-2320
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Fax | 402-552-2330
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Authorized Official
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Title or Position | PRESIDENT
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Name | HAYSAM AKKAD
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Credential | M.D.
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Telephone | 402-552-2320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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