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General NPI Number Information
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NPI Number | 1568458883
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Entity Type | Individual
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Provider Name | NASIM S. KHAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 01/03/2013
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Provider Practice Location Address
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Address Line | 919 MALL RING RD
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City | SEBRING
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State | FL
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Zip | 33870-8515
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Country | US
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Telephone | 863-471-1703
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Fax | 863-471-6229
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Provider Business Mailing Address
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Address Line | 919 MALL RING RD
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City | SEBRING
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State | FL
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Zip | 33870-8515
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Country | US
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Telephone | 863-471-1703
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Fax | 863-471-6229
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | ME94450
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License Number State | FL
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