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General NPI Number Information
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NPI Number | 1437360542
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Entity Type | Individual
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Provider Name | KHAWAJA NADEEM AHMED M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 500 HOSPITAL DR
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City | WARRENTON
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State | VA
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Zip | 20186-3027
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Country | US
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Telephone | 540-316-5012
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Fax |
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Provider Business Mailing Address
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Address Line | 8171 ARROWLEAF TURN
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City | GAINESVILLE
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State | VA
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Zip | 20155-2030
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Country | US
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Telephone | 703-754-1502
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101243291
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT-187294
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0101243291
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License Number State | VA
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