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General NPI Number Information
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NPI Number | 1669147351
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Entity Type | Individual
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Provider Name | MOHAMMED NABEEL AHMED KHAN
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Gender | Male
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Dates
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Enumeration Date | 08/13/2021
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 2600 S EL CAMINO REAL
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City | SAN MATEO
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State | CA
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Zip | 94403-2380
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Country | US
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Telephone | 650-393-8969
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Fax |
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Provider Business Mailing Address
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Address Line | 6657 MIRABEAU DR
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City | NEWARK
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State | CA
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Zip | 94560-1122
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Country | US
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Telephone | 510-825-3966
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number | 373H00000X
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License Number State | CA
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