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General NPI Number Information
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NPI Number | 1164711628
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Entity Type | Individual
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Provider Name | ZAMAN KHAN PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 115 E PINE ST
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City | LODI
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State | CA
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Zip | 95240-2210
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Country | US
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Telephone | 800-853-0651
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Fax | 800-985-9412
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Provider Business Mailing Address
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Address Line | PO BOX 1804
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City | LODI
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State | CA
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Zip | 95241-1804
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Country | US
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Telephone | 209-712-7853
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Fax | 209-368-7185
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 48893
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License Number State | CA
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