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General NPI Number Information
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NPI Number | 1417606468
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Entity Type | Individual
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Provider Name | SUMMER MAHER EL-KHODARY PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/18/2022
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 10455 ORTHOPAEDIC DR
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City | NEWBURGH
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State | IN
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Zip | 47630-7955
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Country | US
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Telephone | 812-424-9291
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Fax | 812-421-2722
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Provider Business Mailing Address
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Address Line | 221 LANT LN
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City | EVANSVILLE
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State | IN
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Zip | 47715-3477
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Country | US
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Telephone | 812-598-9668
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA3598
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10004260A
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License Number State | IN
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