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General NPI Number Information
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NPI Number | 1366888406
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Entity Type | Organization
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Legal Business Name | SHABBIR M HASHIM DDS INC
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Dates
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Enumeration Date | 05/16/2013
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Last Update Date | 05/16/2013
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Provider Practice Location Address
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Address Line | 3349 EXECUTIVE PKWY STE A
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City | TOLEDO
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State | OH
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Zip | 43606-1336
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Country | US
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Telephone | 419-537-9352
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Fax | 419-537-1816
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Provider Business Mailing Address
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Address Line | 3349 EXECUTIVE PKWY STE A
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City | TOLEDO
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State | OH
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Zip | 43606-1336
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Country | US
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Telephone | 419-537-9352
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Fax | 419-537-1816
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Authorized Official
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Title or Position | OWNER
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Name | SHABBIR HASHIM
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Credential | DDS
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Telephone | 419-537-9352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 19227
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License Number State | OH
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