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NPI 1184580532

NPI 1184580532 : LAKESIDE PEDIATRICS PC : OKLAHOMA CITY, OK

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General NPI Number Information
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    NPI Number           |    1184580532
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    Entity Type          |    Organization 
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    Legal Business Name  |    LAKESIDE PEDIATRICS PC 
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Dates
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    Enumeration Date     |    12/30/2025
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    Last Update Date     |    12/30/2025
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Provider Practice Location Address
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    Address Line         |    11011 HEFNER POINTE DR STE A 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73120-5005
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    Country              |    US
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    Telephone            |    405-479-8300
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    Fax                  |    405-212-3606
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Provider Business Mailing Address
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    Address Line         |    11011 HEFNER POINTE DR STE A 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73120-5005
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    Country              |    US
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    Telephone            |    405-479-8300
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    Fax                  |    405-212-3606
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Authorized Official
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    Title or Position    |    MD/OWNER
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    Name                 |     HAMED  ALBIEK 
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    Credential           |    MD
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    Telephone            |    405-479-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    
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    License Number State |    
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