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General NPI Number Information
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NPI Number | 1699268755
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Entity Type | Individual
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Provider Name | JOSEPH HASHIM DMD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2018
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Last Update Date | 06/12/2018
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Provider Practice Location Address
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Address Line | 5701 LIBERTY GROVE RD STE 140
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City | ROWLETT
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State | TX
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Zip | 75089-3674
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Country | US
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Telephone | 214-556-6862
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Fax |
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Provider Business Mailing Address
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Address Line | 119 W MAPLE RIDGE CT
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-2092
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Country | US
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Telephone | 954-298-4521
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 34138
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License Number State | TX
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