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General NPI Number Information
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NPI Number | 1588662902
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Entity Type | Individual
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Provider Name | KHALID KAYANI MD
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Gender | Male
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Dates
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Enumeration Date | 07/09/2005
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 3560 DELAWARE ST SUITE1203
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City | BEAUMONT
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State | TX
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Zip | 77706-3067
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Country | US
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Telephone | 409-898-0922
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Fax | 409-898-1718
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Provider Business Mailing Address
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Address Line | 3560 DELAWARE ST SUITE1203
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City | BEAUMONT
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State | TX
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Zip | 77706-3067
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Country | US
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Telephone | 409-898-0922
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Fax | 409-898-1718
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G2407
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License Number State | TX
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