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General NPI Number Information
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NPI Number | 1962717538
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Entity Type | Individual
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Provider Name | FAWAZ ABDULRAHEEM MD
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Gender | Male
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Dates
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Enumeration Date | 08/08/2010
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Last Update Date | 06/27/2018
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Provider Practice Location Address
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Address Line | MUBARAK AL-KABEER HOSPITAL STREET 103, JABRIYA
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City | KUWAIT CITY
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State | KWI
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Zip | 32052
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Country | KW
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Telephone | 965-253-1270
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Fax |
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Provider Business Mailing Address
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Address Line | 18221 150TH AVE # 749100
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City | SPRINGFIELD GARDENS
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State | NY
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Zip | 11413-4010
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Country | US
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Telephone | 718-553-8740
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 07681174
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License Number State | MD
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