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General NPI Number Information
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NPI Number | 1043409873
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Entity Type | Individual
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Provider Name | FAIZUDDIN KHAJA MD
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Gender | Male
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 2055 READING RD SUITE 330
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City | CINCINNATI
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State | OH
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Zip | 45202-1461
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Country | US
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Telephone | 513-381-1900
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Fax | 513-287-6403
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Provider Business Mailing Address
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Address Line | 2865 CHANCELLOR DR STE 215
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City | CRESTVIEW HILLS
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State | KY
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Zip | 41017-3931
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Country | US
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Telephone | 859-581-7120
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Fax | 859-581-7207
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 35.097073
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 44434
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 35.097073
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 44434
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License Number State | KY
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