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General NPI Number Information
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NPI Number | 1053463893
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Entity Type | Individual
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Provider Name | NADRA N KHAN MD
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Gender | Female
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 05/27/2011
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Provider Practice Location Address
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Address Line | 2001 MEDICAL PARKWAY ACUTE CARE PAVILION
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3280
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Country | US
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Telephone | 443-481-1000
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Fax | 443-481-1687
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Provider Business Mailing Address
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Address Line | P.O. BOX 64916
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City | BALTIMORE
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State | MD
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Zip | 21264-4916
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Country | US
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Telephone | 443-481-6482
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Fax | 443-481-6515
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D65156
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License Number State | MD
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