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General NPI Number Information
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NPI Number | 1063564268
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Entity Type | Individual
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Provider Name | AMBREEN KHALIL MD
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 580 COURT ST
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City | KEENE
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State | NH
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Zip | 03431-1718
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Country | US
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Telephone | 603-354-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 66 W FLAGLER ST STE 900
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City | MIAMI
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State | FL
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Zip | 33130-1807
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT187669
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD2023-0227
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 253814
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 253814
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 24491
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License Number State | NH
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