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General NPI Number Information
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NPI Number | 1154582542
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Entity Type | Individual
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Provider Name | MOHAMMAD N. ALFARAWATI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 2001 N JEFFERSON AVE STE 130
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City | MOUNT PLEASANT
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State | TX
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Zip | 75455-2338
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Country | US
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Telephone | 903-434-4826
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Fax | 903-577-6245
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Provider Business Mailing Address
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Address Line | 710 N NILES AVE
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City | SOUTH BEND
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State | IN
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Zip | 46617-1924
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Country | US
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Telephone | 574-647-1610
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 13491
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | P1724
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 29922
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 01067617
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | P1724
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License Number State | TX
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