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General NPI Number Information
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NPI Number | 1053387761
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Entity Type | Individual
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Provider Name | KHALEEL DEEB MD
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Gender | Male
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 11/28/2018
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Provider Practice Location Address
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Address Line | 7575 NORTHCLIFF AVE SUITE 304
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City | BROOKLYN
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State | OH
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Zip | 44144-3267
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Country | US
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Telephone | 216-749-8265
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Fax | 216-749-8222
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Provider Business Mailing Address
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Address Line | 3535 LEE RD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44120-5122
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Country | US
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Telephone | 216-417-6166
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Fax | 216-417-8676
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35060323D
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License Number State | OH
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