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General NPI Number Information
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NPI Number | 1437794013
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Entity Type | Organization
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Legal Business Name | DR A KHAN MEDICAL PLLC
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Dates
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Enumeration Date | 11/07/2019
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Last Update Date | 11/07/2019
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Provider Practice Location Address
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Address Line | 890 WESTFALL RD
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City | ROCHESTER
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State | NY
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Zip | 14618-2610
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Country | US
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Telephone | 607-968-1983
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Fax |
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Provider Business Mailing Address
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Address Line | 47 ANGELS PATH
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City | WEBSTER
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State | NY
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Zip | 14580-2293
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Country | US
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Telephone | 607-968-1983
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ASIF ALI KHAN
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Credential | MD
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Telephone | 607-968-1983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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