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General NPI Number Information
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NPI Number | 1669212452
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Entity Type | Individual
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Provider Name | SHAHID HAMID KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 9601 BLACKWELL RD STE 275
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City | ROCKVILLE
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State | MD
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Zip | 20850-6492
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Country | US
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Telephone | 856-955-1247
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Fax |
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Provider Business Mailing Address
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Address Line | 4721 1ST ST SW APT 103
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City | WASHINGTON
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State | DC
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Zip | 20032-2706
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Country | US
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Telephone | 202-913-7442
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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 | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number | 27809
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License Number State | MD
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