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General NPI Number Information
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NPI Number | 1467496364
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Entity Type | Individual
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Provider Name | F FREDERIC KHOURY MD
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 07/25/2014
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Provider Practice Location Address
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Address Line | 22 RYE RIDGE PLAZA
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City | RYE BROOK
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State | NY
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Zip | 10573
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Country | US
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Telephone | 914-253-9300
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Fax | 914-253-9302
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Provider Business Mailing Address
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Address Line | 22 RYE RIDGE PLAZA
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City | RYE BROOK
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State | NY
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Zip | 10573
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Country | US
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Telephone | 914-253-9300
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Fax | 914-253-9302
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 117574
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 043207
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License Number State | CT
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