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General NPI Number Information
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NPI Number | 1598044299
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Entity Type | Individual
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Provider Name | ADIL HALEEM KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2011
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 161 FT WASHINGTN AVE FL 8
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City | NEW YORK
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State | NY
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Zip | 10032-3729
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Country | US
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Telephone | 212-342-1155
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Fax | 212-305-0267
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Provider Business Mailing Address
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Address Line | 13400 E SHEA BLVD
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-5452
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Country | US
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Telephone | 480-301-8000
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 63164
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 63164
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 324394
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License Number State | NY
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Taxonomy #4
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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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