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General NPI Number Information
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NPI Number | 1316383979
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Entity Type | Individual
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Provider Name | MOHAMED HAKIM D.D.S
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Gender | Male
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Dates
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Enumeration Date | 05/21/2013
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 2501 N GLEBE RD STE 203
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City | ARLINGTON
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State | VA
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Zip | 22207-3558
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Country | US
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Telephone | 703-504-2141
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 N GLEBE RD STE 203
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City | ARLINGTON
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State | VA
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Zip | 22207-3558
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Country | US
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Telephone | 703-504-2141
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 2901600490
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DEN2000357
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 0401415895
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 17970
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License Number State | MD
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