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General NPI Number Information
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NPI Number | 1275582991
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Entity Type | Individual
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Provider Name | DAUD Y KHAN DO
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Gender | Male
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 113 W HICKORY ST
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City | NEOSHO
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State | MO
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Zip | 64850-1705
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Country | US
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Telephone | 417-347-2476
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Fax |
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Provider Business Mailing Address
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Address Line | 113 W HICKORY ST
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City | NEOSHO
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State | MO
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Zip | 64850-1705
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Country | US
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Telephone | 417-347-2476
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | E-8477
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2000158729
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2000158729
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | E-8477
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License Number State | AR
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