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General NPI Number Information
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NPI Number | 1235139239
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Entity Type | Individual
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Provider Name | ATTIYA SHAHEEN KHAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/01/2005
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 21212 NORTHWEST FRWY. STE. 555 NORTHWEST CARDIOLOGY CONSULTANTS, P.A.
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City | CYPRESS
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State | TX
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Zip | 77429
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Country | US
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Telephone | 281-955-0786
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Fax | 281-955-8848
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Provider Business Mailing Address
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Address Line | 21212 NORTHWEST FRWY. STE. 555 NORTHWEST CARDIOLOGY CONSULTANTS, P.A.
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City | CYPRESS
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State | TX
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Zip | 77429
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Country | US
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Telephone | 281-955-0786
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Fax | 281-955-8848
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | F8916
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | F8916
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License Number State | TX
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