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General NPI Number Information
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NPI Number | 1043016496
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Entity Type | Organization
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Legal Business Name | PETER F. HAZIM D.D.S., P.A.
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 105 N ALMA DR STE 100
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City | ALLEN
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State | TX
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Zip | 75013-3360
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Country | US
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Telephone | 972-727-5599
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Fax | 972-727-5592
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Provider Business Mailing Address
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Address Line | 105 N ALMA DR STE 100
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City | ALLEN
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State | TX
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Zip | 75013-3360
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Country | US
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Telephone | 972-727-5599
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Fax | 972-727-5592
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER HAZIM
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Credential | DDS
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Telephone | 972-727-5599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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