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NPI 1144326034

NPI 1144326034 : NAHEED A KHAN MD : LINWOOD, NJ

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General NPI Number Information
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    NPI Number           |    1144326034
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    Entity Type          |    Individual 
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    Provider Name        |    NAHEED A KHAN MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/16/2006
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    Last Update Date     |    10/11/2011
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Provider Practice Location Address
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    Address Line         |    1401 NEW RD SUITE 1B
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    City                 |    LINWOOD
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    State                |    NJ
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    Zip                  |    08221-1121
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    Country              |    US
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    Telephone            |    609-927-7100
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    Fax                  |    609-927-7103
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Provider Business Mailing Address
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    Address Line         |    PO BOX 712 167 NEW JERSEY AVE
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    City                 |    ABSECON
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    State                |    NJ
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    Zip                  |    08201
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    Country              |    US
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    Telephone            |    609-927-7100
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    Fax                  |    609-927-7103
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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        |    2081P2900X
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    Taxonomy Name        |    Pain Medicine (Physical Medicine & Rehabilitation) Physician
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    License Number       |    25MA03409800
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    License Number State |    NJ
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