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General NPI Number Information
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NPI Number | 1811817448
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Entity Type | Organization
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Legal Business Name | SAMIR HAZIME DDS LLC
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 1626 S STATE ROAD 46
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City | TERRE HAUTE
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State | IN
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Zip | 47803-9301
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Country | US
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Telephone | 812-877-2238
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Fax |
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Provider Business Mailing Address
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Address Line | 123 ROME CT
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City | TERRE HAUTE
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State | IN
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Zip | 47803-9463
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAMIR HAZIME
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Credential | DDS
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Telephone | 313-970-7043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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