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General NPI Number Information
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NPI Number | 1871004804
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Entity Type | Individual
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Provider Name | KHAYRI ALJABI
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Gender | Male
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Dates
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Enumeration Date | 10/17/2017
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Last Update Date | 10/17/2017
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Provider Practice Location Address
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Address Line | 6516 WESTHEIMER RD STE J
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City | HOUSTON
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State | TX
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Zip | 77057-5139
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Country | US
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Telephone | 714-571-6429
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Fax |
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Provider Business Mailing Address
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Address Line | 11875 EDGEFIELD DR
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City | FISHERS
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State | IN
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Zip | 46037-3803
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Country | US
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Telephone | 317-556-7166
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 33423
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License Number State | TX
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