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General NPI Number Information
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NPI Number | 1295212025
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Entity Type | Individual
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Provider Name | HASSAN MEHMOOD LAK MD
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Gender | Male
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 2600 6TH ST SW
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City | CANTON
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State | OH
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Zip | 44710-1702
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Country | US
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Telephone | 330-454-8076
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Fax | 330-454-3927
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Provider Business Mailing Address
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Address Line | 18101 LORAIN AVE
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City | CLEVELAND
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State | OH
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Zip | 44111-5612
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Country | US
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Telephone | 216-476-7000
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35.140229
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 57.245537
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 35.140229
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License Number State | OH
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Taxonomy #4
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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 | 35.140229
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35.140229
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License Number State | OH
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