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General NPI Number Information
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NPI Number | 1821288705
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Entity Type | Individual
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Provider Name | ISMAEEL BADR HASHEMI MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 1918 RANDOLPH RD STE 210
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City | CHARLOTTE
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State | NC
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Zip | 28207-1109
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Country | US
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Telephone | 704-316-5060
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Fax | 704-316-5069
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Provider Business Mailing Address
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Address Line | PO BOX 60447
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City | CHARLOTTE
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State | NC
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Zip | 28260-0447
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Country | US
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Telephone | 704-316-5060
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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 | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 4301095879
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 955858
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License Number State | NC
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