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General NPI Number Information
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NPI Number | 1417884008
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Entity Type | Individual
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Provider Name | ALMAS MASROOR KHAN
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Gender |
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 1800 N CALIFORNIA ST
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City | STOCKTON
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State | CA
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Zip | 95204-6019
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Country | US
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Telephone | 209-943-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 44578 COUNTRY CLUB DR
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City | EL MACERO
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State | CA
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Zip | 95618-1046
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Country | US
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Telephone | 530-304-8671
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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