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General NPI Number Information
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NPI Number | 1073773115
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Entity Type | Organization
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Legal Business Name | AHMED KHAN MD PA
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Dates
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Enumeration Date | 06/12/2008
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 2919 S HAMPTON RD # F222
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City | DALLAS
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State | TX
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Zip | 75224-3026
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Country | US
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Telephone | 214-330-5007
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Fax | 214-221-5600
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Provider Business Mailing Address
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Address Line | 2919 S HAMPTON RD # F222
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City | DALLAS
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State | TX
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Zip | 75224-3026
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Country | US
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Telephone | 214-330-5007
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Fax | 214-221-5600
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Authorized Official
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Title or Position | PHYSICIAN
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Name | AHMED KHAN
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Credential | MD
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Telephone | 972-207-3920
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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 | H0073
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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