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General NPI Number Information
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NPI Number | 1437259660
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Entity Type | Individual
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Provider Name | PRAKASH N KHOT M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 1216 SCHOOL ST STE D
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City | WILKESBORO
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State | NC
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Zip | 28697-2634
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Country | US
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Telephone | 336-838-9990
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Fax | 336-838-9995
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Provider Business Mailing Address
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Address Line | PO BOX 327
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City | KING
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State | NC
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Zip | 27021-0327
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Country | US
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Telephone | 336-838-9990
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Fax | 336-838-9995
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 19016
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License Number State | NC
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