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General NPI Number Information
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NPI Number | 1518903640
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Entity Type | Individual
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Provider Name | FARHAN KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 06/11/2009
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Provider Practice Location Address
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Address Line | 350 ENGLE STREET ENGLEWOOD STREET
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City | ENGLEWOOD
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State | NJ
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Zip | 07631
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Country | US
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Telephone | 201-984-3000
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Fax | 610-617-6280
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Provider Business Mailing Address
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Address Line | PO BOX 48310 EMERGENCY PHYSICIANS OF EMA INC
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City | NEWARK
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State | NJ
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Zip | 07101-4810
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Country | US
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Telephone | 201-894-3450
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Fax | 610-617-6280
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA07746900
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License Number State | NJ
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