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General NPI Number Information
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NPI Number | 1376879551
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Entity Type | Organization
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Legal Business Name | HASHEMI & ASSOCIATE O.D.,P.A
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Dates
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Enumeration Date | 10/23/2009
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Last Update Date | 10/23/2009
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Provider Practice Location Address
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Address Line | 18121 MARSH LN STE 6
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City | DALLAS
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State | TX
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Zip | 75287-5742
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Country | US
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Telephone | 972-862-6699
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Fax | 972-862-6611
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Provider Business Mailing Address
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Address Line | PO BOX 260596
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City | PLANO
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State | TX
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Zip | 75026-0596
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Country | US
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Telephone | 972-862-6699
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Fax | 972-862-6611
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. HAMID HASHEMI
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Credential | O.D.
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Telephone | 972-862-6699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6174TG
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License Number State | TX
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