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General NPI Number Information
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NPI Number | 1417397092
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Entity Type | Individual
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Provider Name | RIMOUN HAKIM M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2013
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Last Update Date | 07/29/2020
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Provider Practice Location Address
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Address Line | 3330 MASONIC DR
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3841
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Country | US
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Telephone | 318-483-4090
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 SAINT MICHAEL DR STE 401
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City | TEXARKANA
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State | TX
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Zip | 75503-5211
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Country | US
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Telephone | 903-614-5368
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Fax | 903-614-5343
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036.140074
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MD.37340
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD.37340
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 323740
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License Number State | LA
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