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General NPI Number Information
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NPI Number | 1619400900
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Entity Type | Individual
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Provider Name | SAMI MOHAMMED KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 1000 REGENCY CT STE 100
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City | TOLEDO
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State | OH
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Zip | 43623-3074
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Country | US
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Telephone | 419-882-0588
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Fax | 419-885-3070
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Provider Business Mailing Address
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Address Line | 1000 REGENCY CT STE 100
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City | TOLEDO
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State | OH
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Zip | 43623-3074
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Country | US
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Telephone | 419-882-0588
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Fax | 419-885-3070
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 4301503661
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 35145425
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License Number State | OH
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