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General NPI Number Information
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NPI Number | 1245167279
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Entity Type | Individual
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Provider Name | MARIUM NADEEM KHAN MD
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Gender | Female
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 169 RIVERSIDE DR
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City | BINGHAMTON
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State | NY
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Zip | 13905-4246
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Country | US
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Telephone | 607-798-5111
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Fax |
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Provider Business Mailing Address
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Address Line | 7565 DANNAHER DR
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City | POWELL
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State | TN
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Zip | 37849-4029
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Country | US
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Telephone | 865-859-8000
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Fax | 865-859-1157
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NY
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