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General NPI Number Information
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NPI Number | 1033256631
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Entity Type | Individual
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Provider Name | LUBNA N KHAN MD
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 11/25/2013
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Provider Practice Location Address
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Address Line | 5005 SIGNAL BELL LANE SUITE 102
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City | CLARKSVILLE
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State | MD
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Zip | 21029
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Country | US
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Telephone | 410-531-5466
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Fax | 410-531-6132
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Provider Business Mailing Address
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Address Line | 12339 WAKE FOREST RD
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1521
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Country | US
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Telephone | 410-531-5466
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Fax | 410-531-6132
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | D0056394
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License Number State | MD
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