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General NPI Number Information
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NPI Number | 1992016588
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Entity Type | Individual
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Provider Name | RANA FAWZI HAWAMDEH M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 1440 E COUNTY LINE RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-0963
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Country | US
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Telephone | 317-497-6270
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Fax | 317-497-2529
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Provider Business Mailing Address
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Address Line | 6626 E 75TH ST STE 500
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2890
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Country | US
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Telephone | 317-621-1647
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | TRN14918
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 01084644A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 2015029477
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 01084644A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 01084644A
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License Number State | IN
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