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General NPI Number Information
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NPI Number | 1952345795
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Entity Type | Organization
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Legal Business Name | SAM HAWATMEH, M D, P C
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 12345 W BEND DR STE 304
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City | SAINT LOUIS
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State | MO
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Zip | 63128-2256
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Country | US
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Telephone | 314-722-2500
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Fax | 314-645-8244
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Provider Business Mailing Address
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Address Line | 12345 W BEND DR STE 304
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City | SAINT LOUIS
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State | MO
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Zip | 63128-2256
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Country | US
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Telephone | 314-722-2500
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Fax | 314-645-8244
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Authorized Official
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Title or Position | PRESIDENT
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Name | ISAM S HAWATMEH
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Credential | M.D.
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Telephone | 314-645-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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