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General NPI Number Information
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NPI Number | 1285627430
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Entity Type | Organization
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Legal Business Name | ALLERGY INSTITUTE, P.C.
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 2001 WESTOWN PKWY STE 107
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City | WEST DES MOINES
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State | IA
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Zip | 50265-1540
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Country | US
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Telephone | 515-223-8622
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Fax | 515-223-5324
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Provider Business Mailing Address
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Address Line | 2001 WESTOWN PKWY STE 107
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City | WEST DES MOINES
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State | IA
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Zip | 50265-1540
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Country | US
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Telephone | 515-223-8622
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Fax | 515-223-5324
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Authorized Official
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Title or Position | OWNER
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Name | FADI H ALKHATIB
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Credential | DO
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Telephone | 515-223-8622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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