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General NPI Number Information
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NPI Number | 1306814777
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Entity Type | Individual
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Provider Name | KHALID A KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 03/14/2014
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Provider Practice Location Address
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Address Line | 3200 MEDICAL PARK DR
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City | SHAWNEE
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State | OK
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Zip | 74804-5014
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Country | US
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Telephone | 405-878-9490
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Fax | 405-878-9492
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Provider Business Mailing Address
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Address Line | PO BOX 14459
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City | OKLAHOMA CITY
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State | OK
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Zip | 73113-0459
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Country | US
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Telephone | 405-775-9350
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Fax | 405-775-9360
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 19113
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 19113
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 19113
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License Number State | OK
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