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General NPI Number Information
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NPI Number | 1447472204
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Entity Type | Individual
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Provider Name | KAMRAN ASHRAF KHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 11/04/2015
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Provider Practice Location Address
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Address Line | 34616 11TH PL S STE 4
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City | FEDERAL WAY
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State | WA
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Zip | 98003-8705
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Country | US
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Telephone | 253-927-2150
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Fax | 253-927-2851
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Provider Business Mailing Address
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Address Line | 34616 11TH PL S STE 4
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City | FEDERAL WAY
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State | WA
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Zip | 98003-8705
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Country | US
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Telephone | 253-927-2150
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Fax | 253-927-2851
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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 | MD60291034
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301086527
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 003212-1
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License Number State | NY
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