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General NPI Number Information
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NPI Number | 1578590212
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Entity Type | Individual
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Provider Name | MOHAMMAD KHALID KHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 4949 LIBERTY LN STE 320
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City | ALLENTOWN
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State | PA
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Zip | 18106-9048
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Country | US
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Telephone | 484-226-0898
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Fax | 610-395-4564
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Provider Business Mailing Address
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Address Line | 6594 RUTHERFORD DR
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City | MACUNGIE
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State | PA
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Zip | 18062-8049
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Country | US
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Telephone | 717-329-0712
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Fax | 610-366-1063
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD056299L
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License Number State | PA
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