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General NPI Number Information
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NPI Number | 1710222039
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Entity Type | Organization
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Legal Business Name | CHEST, ALLERGY AND SLEEP CLINIC PLLC
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Dates
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Enumeration Date | 11/28/2012
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 4017 E PLANO PKWY STE 400
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City | PLANO
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State | TX
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Zip | 75074-1841
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Country | US
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Telephone | 972-665-7100
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Fax | 866-531-9625
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Provider Business Mailing Address
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Address Line | 3413 SPECTRUM BLVD # 100
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City | RICHARDSON
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State | TX
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Zip | 75082-9705
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Country | US
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Telephone | 972-884-4160
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Fax | 972-668-1618
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMMAD N. ALFARAWATI
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Credential | MD
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Telephone | 662-801-4975
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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 | P1724
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License Number State | TX
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