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General NPI Number Information
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NPI Number | 1568692598
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Entity Type | Organization
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Legal Business Name | QADAR KHAN MD AND ASSOCIATES,PC
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 702 W GIRARD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19123-1313
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Country | US
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Telephone | 215-947-8329
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Fax |
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Provider Business Mailing Address
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Address Line | 2239 DEER PATH RD
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-5905
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Country | US
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Telephone | 215-440-9547
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. QADAR KHAN
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Credential | MD
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Telephone | 215-440-9547
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MD033303L
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License Number State | PA
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