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General NPI Number Information
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NPI Number | 1578774618
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Entity Type | Individual
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Provider Name | PAWANDEEP SINGH KHANNA M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 11/15/2019
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Provider Practice Location Address
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Address Line | 16 ORCHARD GRV
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-2371
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Country | US
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Telephone | 848-248-7355
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 91734
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City | RICHMOND
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State | VA
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Zip | 23291-1734
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Country | US
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Telephone | 804-358-6100
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Fax | 804-342-7619
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101247832
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA08198600
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License Number State | NJ
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