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General NPI Number Information
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NPI Number | 1922346832
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Entity Type | Organization
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Legal Business Name | FARIS Z HAKKI, M.D.
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Dates
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Enumeration Date | 01/28/2013
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Last Update Date | 01/28/2013
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Provider Practice Location Address
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Address Line | 106 IRVING ST NW POB 408
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City | WASHINGTON
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State | DC
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Zip | 20010-2927
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Country | US
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Telephone | 301-943-1646
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Fax | 410-721-6363
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Provider Business Mailing Address
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Address Line | 106 IRVING ST NW POB 408
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City | WASHINGTON
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State | DC
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Zip | 20010-2927
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Country | US
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Telephone | 301-943-1646
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Fax | 410-721-6363
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Authorized Official
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Title or Position | SOLE OWNER
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Name | FARIS Z HAKKI
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Credential | MD
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Telephone | 301-943-1646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD21291
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License Number State | DC
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