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General NPI Number Information
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NPI Number | 1306168638
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Entity Type | Organization
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Legal Business Name | ASSAD S. KHOURY, M.D., P.C.
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Dates
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Enumeration Date | 03/01/2010
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Last Update Date | 03/01/2010
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Provider Practice Location Address
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Address Line | 4910 MASSACHUSETTS AVENUE, N.W. SUITE 303
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City | WASHINGTON
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State | DC
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Zip | 20016-4300
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Country | US
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Telephone | 202-966-4981
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Fax | 202-966-5781
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Provider Business Mailing Address
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Address Line | 4910 MASSACHUSETTS AVENUE, N.W. SUITE 303
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City | WASHINGTON
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State | DC
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Zip | 20016-4300
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Country | US
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Telephone | 202-966-4981
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Fax | 202-966-5781
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN/OWNER
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Name | DR. ASSAD S KHOURY
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Credential | M.D.
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Telephone | 202-966-4981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD2408
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License Number State | DC
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