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General NPI Number Information
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NPI Number | 1548510332
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Entity Type | Individual
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Provider Name | HISHAM A. MARWAN DDS
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Gender | Male
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Dates
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Enumeration Date | 09/19/2012
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1611 NW 12TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1005
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Country | US
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Telephone | 347-993-9462
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Fax |
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Provider Business Mailing Address
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Address Line | 301 UNIVERSITY BLVD JOHN SEALY ANNEX 6.106
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City | GALVESTON
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State | TX
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Zip | 77555-0531
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Country | US
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Telephone | 347-993-9462
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Fax |
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 33940
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License Number State | TX
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