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General NPI Number Information
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NPI Number | 1750725149
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Entity Type | Individual
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Provider Name | FAISAL KHATEEB M.D
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Gender | Male
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Dates
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Enumeration Date | 04/29/2013
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Last Update Date | 06/10/2019
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Provider Practice Location Address
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Address Line | IBRAHIM AL-ANQARI, ALMOHAMMADIYYAH BUILDING 4710
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City | JEDDAH
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State | MAKKAH PROVINCE
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Zip | 23617
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Country | SA
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Telephone | 773-551-9248
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Fax |
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Provider Business Mailing Address
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Address Line | IBRAHIM ALANQUARI STREET BUILDING 4710
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City | JEDDAH
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State | MECCA
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Zip | 23617
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Country | SA
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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