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General NPI Number Information
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NPI Number | 1215589288
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Entity Type | Individual
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Provider Name | HAMZA HAFEEZ MALIK DDS
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Gender | Male
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Dates
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Enumeration Date | 07/10/2019
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 6137 KIRBY DR
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City | HOUSTON
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State | TX
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Zip | 77005-3148
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Country | US
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Telephone | 713-490-8888
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Fax | 713-490-6462
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Provider Business Mailing Address
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Address Line | 1500 S MAIN ST
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City | FORT WORTH
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State | TX
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Zip | 76104-4917
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 37117
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License Number State | TX
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