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General NPI Number Information
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NPI Number | 1902137540
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Entity Type | Individual
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Provider Name | HASSAN HATOUM MD
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Gender | Male
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Dates
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Enumeration Date | 01/21/2010
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Last Update Date | 08/15/2019
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Provider Practice Location Address
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Address Line | 800 NE 10TH ST. OKCC 2001-6 STEPHENSON CANCER CENTER//UNIVERSITY OF OKLAHOMA HEALTH
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104
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Country | US
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Telephone | 405-272-4022
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Fax | 405-271-4221
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Provider Business Mailing Address
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Address Line | 800 NE 10TH ST. 6TH FL, ROOM 6017 STEPHENSON CANCER CENTER//UNIVERSITY OF OKLAHOMA HEALTH
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104
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Country | US
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Telephone | 405-272-4022
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Fax | 405-271-4221
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 31656
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License Number State | OK
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