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General NPI Number Information
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NPI Number | 1942725544
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Entity Type | Individual
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Provider Name | DEYA ALKHATIB MD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 399 9TH ST N STE 300
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City | NAPLES
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State | FL
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Zip | 34102-5820
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Country | US
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Telephone | 239-624-4200
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Fax | 239-624-4241
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Provider Business Mailing Address
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Address Line | 768 NUTTALL ST
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City | EVANS
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State | GA
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Zip | 30809-0838
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Country | US
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Telephone | 410-225-8790
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 98012
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME176907
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License Number State | FL
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Taxonomy #3
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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 | 75291
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License Number State | CT
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