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General NPI Number Information
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NPI Number | 1538361423
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Entity Type | Individual
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Provider Name | KHURRAM JAVED MALIK M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2007
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Last Update Date | 04/17/2017
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Provider Practice Location Address
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Address Line | 6400 ARLINGTON BLVD. SUITE 600
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City | FALLS CHURCH
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State | VA
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Zip | 22042-2349
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Country | US
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Telephone | 703-288-9001
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Fax | 703-288-5169
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Provider Business Mailing Address
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Address Line | 6400 ARLINGTON BLVD. SUITE 600
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City | FALLS CHURCH
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State | VA
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Zip | 22042-2349
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Country | US
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Telephone | 703-288-9001
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Fax | 703-288-5169
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 49565
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 046486
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D0069193
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0101242539
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 0101242539
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 207WX0108X
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Taxonomy Name | Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
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License Number | 0101242539
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License Number State | VA
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