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General NPI Number Information
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NPI Number | 1598990533
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Entity Type | Individual
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Provider Name | TARIQ S HAKKY MD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2009
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Last Update Date | 08/05/2021
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Provider Practice Location Address
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Address Line | 371 E PACES FERRY ROAD SUITE 550
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City | ATLANTA
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State | GA
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Zip | 30305
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Country | US
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Telephone | 404-400-3120
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Fax | 404-481-2454
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Provider Business Mailing Address
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Address Line | 371 E PACES FERRY ROAD SUITE 550
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City | ATLANTA
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State | GA
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Zip | 30305
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Country | US
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Telephone | 404-400-3120
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Fax | 404-481-2454
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 073759
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License Number State | GA
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