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General NPI Number Information
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NPI Number | 1841460250
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Entity Type | Organization
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Legal Business Name | NABIL N FALTAS, MD, PC
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 6000 UNIVERSITY AVE SUITE 140
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City | WEST DES MOINES
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State | IA
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Zip | 50266-8203
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Country | US
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Telephone | 515-226-2122
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Fax | 515-226-8506
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Provider Business Mailing Address
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Address Line | 610 10TH ST
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City | PERRY
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State | IA
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Zip | 50220-2221
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Country | US
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Telephone | 515-226-7423
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Fax | 515-226-8506
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Authorized Official
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Title or Position | OWNER
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Name | DR. NABIL N FALTAS
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Credential | MD
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Telephone | 515-226-7423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 19707
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License Number State | IA
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