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General NPI Number Information
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NPI Number | 1225181217
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Entity Type | Individual
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Provider Name | EDGAR MICHAEL KAHN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/21/2007
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 71 S FLANNAGAN AVE
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City | LEBANON
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State | VA
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Zip | 24266
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Country | US
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Telephone | 276-883-8042
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Fax | 276-883-8044
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Provider Business Mailing Address
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Address Line | 1021 W OAKLAND AVE STE 310 STE 310
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2192
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Country | US
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Telephone | 423-952-2111
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 101262130
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 55470
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 7726
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License Number State | NH
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