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General NPI Number Information
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NPI Number | 1154353027
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Entity Type | Individual
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Provider Name | JAHANGIR M. KHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 12/17/2008
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Provider Practice Location Address
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Address Line | 9114 PHILADELPHIA RD SUITE 304
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City | BALTIMORE
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State | MD
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Zip | 21237-4317
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Country | US
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Telephone | 410-687-7010
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Fax | 410-687-8095
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Provider Business Mailing Address
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Address Line | 10845 PHILADELPHIA RD
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City | WHITE MARSH
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State | MD
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Zip | 21162-1717
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Country | US
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Telephone | 410-335-0008
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Fax | 410-335-1133
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | D22503
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License Number State | MD
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