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General NPI Number Information
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NPI Number | 1003120742
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Entity Type | Individual
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Provider Name | SHAUNTEL PARKER KHAN PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 08/05/2010
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Last Update Date | 04/30/2019
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Provider Practice Location Address
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Address Line | 5610 READ BLVD STE 113
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City | NEW ORLEANS
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State | LA
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Zip | 70127
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Country | US
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Telephone | 504-241-8188
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Fax | 504-264-5941
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Provider Business Mailing Address
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Address Line | 5104 WESTLAKE DR
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City | NEW ORLEANS
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State | LA
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Zip | 70126-2860
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Country | US
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Telephone | 504-309-5664
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 18452
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License Number State | LA
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