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General NPI Number Information
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NPI Number | 1356739098
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Entity Type | Organization
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Legal Business Name | JOHN P. HAKIM, MD AND ASSOCIATES
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Dates
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Enumeration Date | 01/05/2015
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Last Update Date | 01/05/2015
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Provider Practice Location Address
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Address Line | 7700 OLD BRANCH AVE SUITE E105
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City | CLINTON
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State | MD
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Zip | 20735-1628
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Country | US
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Telephone | 301-856-5444
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Fax | 301-856-5454
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Provider Business Mailing Address
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Address Line | 3195 LACROSSE CT
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City | DUNKIRK
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State | MD
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Zip | 20754-2926
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Country | US
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Telephone | 443-880-5146
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Fax | 301-856-5444
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Authorized Official
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Title or Position | PHYSCIAN
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Name | DR. JOHN PIERRE HAKIM
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Credential | M.D.
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Telephone | 443-880-5146
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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 | D47748
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License Number State | MD
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