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General NPI Number Information
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NPI Number | 1639696313
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Entity Type | Organization
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Legal Business Name | HIGHLAND MEDICAL CARE PLLC
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Dates
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Enumeration Date | 08/24/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 87-30 167TH ST
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City | JAMAICA
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State | NY
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Zip | 11432-3636
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Country | US
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Telephone | 718-262-8991
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Fax |
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Provider Business Mailing Address
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Address Line | 8730 167TH ST
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City | JAMAICA
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State | NY
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Zip | 11432-3636
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Country | US
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Telephone | 718-262-8991
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Fax |
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Authorized Official
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Title or Position | MD
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Name | NAZMUL KHAN
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Credential | MD
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Telephone | 516-428-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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