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General NPI Number Information
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NPI Number | 1225786122
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Entity Type | Organization
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Legal Business Name | HAMED ABDULSALAM SHABANEH ALTAMIMI MD, PLLC
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Dates
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Enumeration Date | 03/10/2022
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 2345 50TH ST STE 500
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City | LUBBOCK
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State | TX
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Zip | 79412-2565
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Country | US
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Telephone | 806-701-5797
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Fax | 806-701-5798
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Provider Business Mailing Address
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Address Line | PO BOX 16770
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City | LUBBOCK
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State | TX
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Zip | 79490-6770
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Country | US
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Telephone | 806-701-5797
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Fax | 806-701-5798
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | HAMED A SHABANEH ALTAMIMI
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Credential | MD
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Telephone | 806-441-9495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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