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General NPI Number Information
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NPI Number | 1417593484
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Entity Type | Individual
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Provider Name | ZOHEL KHAN ARNP
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Gender | Male
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 11/25/2019
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Provider Practice Location Address
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Address Line | 660 GLADES RD
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City | BOCA RATON
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State | FL
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Zip | 33431-6465
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Country | US
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Telephone | 561-338-9992
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Fax |
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Provider Business Mailing Address
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Address Line | 9440 SW 8TH ST APT 422
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City | BOCA RATON
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State | FL
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Zip | 33428-6881
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Country | US
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Telephone | 412-535-1814
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11005077
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License Number State | FL
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