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NPI 1689649592

NPI 1689649592 : MALAIKA HAKIMA MD : FLOMATON, AL

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General NPI Number Information
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    NPI Number           |    1689649592
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    Entity Type          |    Individual 
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    Provider Name        |    MALAIKA HAKIMA MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/22/2006
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    Last Update Date     |    01/14/2020
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Provider Practice Location Address
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    Address Line         |    PO DRAWER 1911 
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    City                 |    FLOMATON
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    State                |    AL
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    Zip                  |    36441-1911
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    Country              |    US
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    Telephone            |    251-296-0136
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    Fax                  |    251-296-1916
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Provider Business Mailing Address
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    Address Line         |    PO DRAWER 1911 1831 ROOSEVELT STREET
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    City                 |    FLOMATON
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    State                |    AL
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    Zip                  |    36441-1911
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    Country              |    US
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    Telephone            |    251-296-0136
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    Fax                  |    251-296-1916
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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        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    12420
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    License Number State |    AL
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