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General NPI Number Information
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NPI Number | 1023491321
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Entity Type | Individual
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Provider Name | KHALID RASHDAN
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Gender | Male
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Dates
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Enumeration Date | 07/04/2015
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Last Update Date | 07/04/2015
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Provider Practice Location Address
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Address Line | 3200 SAINT JULIET ST 2212
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City | FORT WORTH
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State | TX
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Zip | 76107-1200
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Country | US
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Telephone | 817-583-2485
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 SAINT JULIET ST APT 2212
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City | FORT WORTH
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State | TX
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Zip | 76107-1236
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Country | US
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Telephone | 817-583-2485
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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