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General NPI Number Information
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NPI Number | 1417181678
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Entity Type | Individual
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Provider Name | FAREED AHMED KHOUQEER M.D.,FACS, MBA.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2009
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Last Update Date | 05/03/2009
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Provider Practice Location Address
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Address Line | 1 ALZAHRAWI KFSHRC 16
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City | RIYADH
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State | CENTRAL
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Zip | 11211
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Country | SA
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Telephone | 966-464-7272
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 CAMBRIDGE ST 28
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City | HOUSTON
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State | TX
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Zip | 77054-3050
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Country | US
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Telephone | 713-791-9751
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | H1719
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | DR-29306
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | MD038224E
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License Number State | PA
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