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General NPI Number Information
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NPI Number | 1578720454
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Entity Type | Organization
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Legal Business Name | IHAB E. HAWARY, DDS, INC
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 09/20/2013
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Provider Practice Location Address
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Address Line | 2646 DUPONT DR SUITE 200
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City | IRVINE
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State | CA
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Zip | 92612-8887
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Country | US
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Telephone | 949-955-3366
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Fax | 949-955-3377
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Provider Business Mailing Address
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Address Line | 2646 DUPONT DR SUITE 200
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City | IRVINE
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State | CA
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Zip | 92612-8887
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Country | US
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Telephone | 949-955-3366
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Fax | 949-955-3377
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IHAB EMIL HAWARY
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Credential | DDS, FAGD, DICOI
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Telephone | 949-955-3366
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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 | 43445
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License Number State | CA
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