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General NPI Number Information
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NPI Number | 1609010883
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Entity Type | Individual
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Provider Name | AMER KHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2009
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Last Update Date | 05/30/2012
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Provider Practice Location Address
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Address Line | 13943 N 91ST AVE STE H101
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City | PEORIA
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State | AZ
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Zip | 85381-3689
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Country | US
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Telephone | 623-977-1331
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Fax | 623-977-1449
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Provider Business Mailing Address
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Address Line | PO BOX 10542
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City | PHOENIX
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State | AZ
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Zip | 85064-0542
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Country | US
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Telephone | 623-977-1331
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Fax | 623-977-1449
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 41672
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License Number State | AZ
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