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General NPI Number Information
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NPI Number | 1144675497
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Entity Type | Individual
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Provider Name | RANIA KHAN MD
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Gender | Female
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Dates
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Enumeration Date | 04/24/2016
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 777 E SANTA CLARA ST
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City | SAN JOSE
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State | CA
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Zip | 95112-1934
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Country | US
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Telephone | 888-334-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 80 CLAYTON AVE
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City | SAN JOSE
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State | CA
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Zip | 95110-2206
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 1043889967
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 1992372403
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A160010
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License Number State | CA
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