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General NPI Number Information
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NPI Number | 1710875356
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Entity Type | Organization
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Legal Business Name | HONOR PAIN CLINIC PC
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 10694 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92505-1816
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Country | US
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Telephone | 951-335-5250
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Fax | 951-335-5468
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Provider Business Mailing Address
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Address Line | 10694 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92505-1816
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Country | US
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Telephone | 951-335-5250
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Fax | 951-335-5468
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Authorized Official
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Title or Position | CEO
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Name | MOHAMMAD A. KHAN
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Credential | MD
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Telephone | 951-335-5250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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