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General NPI Number Information
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NPI Number | 1205927902
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Entity Type | Individual
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Provider Name | SALMA H. KHAN M D.
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 01/21/2010
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Provider Practice Location Address
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Address Line | 4950 BARRANCA PKWY SUITE 201
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City | IRVINE
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State | CA
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Zip | 92604-4671
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Country | US
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Telephone | 949-294-1550
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Fax | 949-653-6192
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Provider Business Mailing Address
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Address Line | 4950 BARRANCA PARKWAY SUITE #201
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City | IRVINE
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State | CA
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Zip | 92604-9998
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Country | US
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Telephone | 949-249-1550
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Fax | 949-679-9450
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A64711
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License Number State | CA
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