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General NPI Number Information
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NPI Number | 1417397753
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Entity Type | Organization
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Legal Business Name | DAVID L HAKIM DDS PA
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 07/01/2013
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Provider Practice Location Address
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Address Line | 8226 DOUGLAS AVE SUITE 836
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City | DALLAS
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State | TX
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Zip | 75225-5943
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Country | US
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Telephone | 214-810-3532
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Fax | 214-368-6205
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Provider Business Mailing Address
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Address Line | 6565 MCCALLUM BLVD #396
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City | DALLAS
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State | TX
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Zip | 75252-7002
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Country | US
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Telephone | 310-993-5147
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. DAVID L HAKIM
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Credential | DDS
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Telephone | 310-993-5147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 26333
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License Number State | TX
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