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General NPI Number Information
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NPI Number | 1104014984
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Entity Type | Organization
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Legal Business Name | HASHEMI & ASSOCIATES O.D.,P.A
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 326 S EDMONDS LN STE 101
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City | LEWISVILLE
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State | TX
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Zip | 75067-3507
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Country | US
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Telephone | 469-616-2030
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Fax | 469-616-2031
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Provider Business Mailing Address
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Address Line | 326 S EDMONDS LN STE 101
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City | LEWISVILLE
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State | TX
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Zip | 75067-3507
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Country | US
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Telephone | 469-616-2030
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Fax | 469-616-2031
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Authorized Official
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Title or Position | PRESIDENT
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Name | HAMID HASHEMI
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Credential | OD
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Telephone | 469-616-2030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6174TG
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License Number State | TX
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