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General NPI Number Information
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NPI Number | 1447948286
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Entity Type | Organization
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Legal Business Name | MOHAMMAD KHALID, PA
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 820 EVERGREEN AVE
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City | PITTSBURGH
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State | PA
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Zip | 15209-2257
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Country | US
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Telephone | 904-217-2148
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 840009
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City | ST AUGUSTINE
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State | FL
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Zip | 32080-0009
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Country | US
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Telephone | 904-217-2148
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMMAD KHALID
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Credential | MD
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Telephone | 904-217-2148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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