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General NPI Number Information
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NPI Number | 1285873737
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Entity Type | Individual
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Provider Name | AURANGZAIB KHAN PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/06/2009
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 131 S CITRUS AVE STE 301
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City | INVERNESS
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State | FL
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Zip | 34452-4701
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Country | US
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Telephone | 352-560-6270
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Fax | 352-341-2354
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Provider Business Mailing Address
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Address Line | PO BOX 2066
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City | LECANTO
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State | FL
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Zip | 34460-2066
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Country | US
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Telephone | 352-563-0931
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Fax | 352-563-0935
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9103958
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA 9103958
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License Number State | FL
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