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General NPI Number Information
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NPI Number | 1457761728
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Entity Type | Individual
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Provider Name | TASLEEMA KHAN
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Gender | Female
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 110 S PACA ST
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City | BALTIMORE
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State | MD
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Zip | 21201-1642
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Country | US
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Telephone | 410-328-1070
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Fax |
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Provider Business Mailing Address
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Address Line | 250 W PRATT ST STE 900
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City | BALTIMORE
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State | MD
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Zip | 21201-6808
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Country | US
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Telephone | 814-222-2062
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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 | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | D0090158
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | D90158
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | D0090158
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License Number State | MD
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