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General NPI Number Information
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NPI Number | 1982842464
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Entity Type | Organization
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Legal Business Name | M H HAKIM M D PC
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Dates
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Enumeration Date | 01/22/2009
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Last Update Date | 01/22/2009
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Provider Practice Location Address
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Address Line | 2012 MONROE ST STE 102
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City | DEARBORN
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State | MI
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Zip | 48124-2938
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Country | US
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Telephone | 313-274-7770
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Fax | 313-274-7737
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Provider Business Mailing Address
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Address Line | 2012 MONROE ST STE 102
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City | DEARBORN
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State | MI
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Zip | 48124-2938
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Country | US
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Telephone | 313-274-7770
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Fax | 313-274-7737
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Authorized Official
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Title or Position | OWNER
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Name | DR. MOHAMAD H HAKIM
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Credential | M.D.
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Telephone | 313-274-7770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 407098
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License Number State | MI
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