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General NPI Number Information
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NPI Number | 1164833273
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Entity Type | Organization
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Legal Business Name | QAMAR S KHAN MD LLC
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Dates
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Enumeration Date | 05/12/2014
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 7806 LAKE UNDERHILL RD
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City | ORLANDO
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State | FL
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Zip | 32822-8232
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Country | US
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Telephone | 407-930-0844
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Fax |
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Provider Business Mailing Address
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Address Line | 6000 ROSEATE SPOONBILL DR
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City | WINDERMERE
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State | FL
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Zip | 34786-5698
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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 | OWNER
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Name | DR. QAMAR KHAN
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Credential |
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Telephone | 407-930-0844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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