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General NPI Number Information
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NPI Number | 1871903427
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Entity Type | Organization
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Legal Business Name | HISHAM HAKIM, M.D., M.P.H., P.C.
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 05/06/2014
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Provider Practice Location Address
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Address Line | 234 N BROADWAY AVE
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City | SYLACAUGA
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State | AL
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Zip | 35150-2526
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Country | US
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Telephone | 256-249-5500
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Fax | 256-249-5506
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Provider Business Mailing Address
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Address Line | 7500 HUGH DANIEL DR SUITE 250
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City | BIRMINGHAM
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State | AL
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Zip | 35242-7148
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Country | US
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Telephone | 205-991-3300
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Fax | 205-991-3327
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | HISHAM HAKIM
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Credential | M.D., M.P.H.
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Telephone | 205-991-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 14336
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License Number State | AL
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