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General NPI Number Information
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NPI Number | 1295623684
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Entity Type | Individual
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Provider Name | ARTAZA MUHAMMAD KHAN
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Gender | Male
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 1286 MARYLAND RT 3 S STE 7
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City | CROFTON
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State | MD
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Zip | 21114-1340
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Country | US
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Telephone | 410-721-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 8202 ARBOR MEADOWS LN
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City | COLUMBIA
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State | MD
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Zip | 21045-2504
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Country | US
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Telephone | 443-558-6986
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 18811
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License Number State | MD
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