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General NPI Number Information
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NPI Number | 1710365879
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Entity Type | Individual
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Provider Name | ALIA MAHMOUD KHOJA M.D
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Gender | Female
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 1100 WARD AVE STE 960
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City | HONOLULU
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State | HI
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Zip | 96814-1600
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Country | US
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Telephone | 808-532-2159
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Fax |
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Provider Business Mailing Address
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Address Line | 55 MERCHANT ST FL 22
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City | HONOLULU
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State | HI
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Zip | 96813-4333
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Country | US
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Telephone | 808-225-6282
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Fax | 808-957-0670
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 2021038959
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 70362
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 23758
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License Number State | HI
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