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General NPI Number Information
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NPI Number | 1326360637
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Entity Type | Organization
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Legal Business Name | AHMAD N HAKIMI MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/28/2010
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Last Update Date | 01/07/2016
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Provider Practice Location Address
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Address Line | 557 W MORTON AVE SUITE B
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City | PORTERVILLE
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State | CA
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Zip | 93257-3383
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Country | US
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Telephone | 559-781-9922
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Fax | 559-781-9925
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Provider Business Mailing Address
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Address Line | 557 W MORTON AVE SUITE B
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City | PORTERVILLE
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State | CA
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Zip | 93257-3383
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Country | US
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Telephone | 559-781-9922
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Fax | 559-781-9925
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Authorized Official
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Title or Position | OWNER
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Name | AHMAD N HAKIMI
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Credential | M. D.
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Telephone | 559-781-9922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A95840
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License Number State | CA
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