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General NPI Number Information
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NPI Number | 1710188693
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Entity Type | Organization
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Legal Business Name | HIKMAT J HANNAWI PC
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 550 N MAIN ST SUITE #1
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City | ATTLEBORO
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State | MA
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Zip | 02703-1735
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Country | US
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Telephone | 508-222-2510
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Fax | 508-222-3903
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Provider Business Mailing Address
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Address Line | 550 N MAIN ST SUITE #1
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City | ATTLEBORO
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State | MA
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Zip | 02703-1735
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Country | US
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Telephone | 508-222-2510
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Fax | 508-222-3903
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HIKMAT GABRIEL HANNAWI
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Credential | D.M.D
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Telephone | 508-222-2510
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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 | 19763
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License Number State | MA
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