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General NPI Number Information
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NPI Number | 1740272012
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Entity Type | Individual
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Provider Name | NIKHAT NASREEN KHAN D.O.
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Gender | Female
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 69 ST. PAUL DRIVE SUITE A
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-4231
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Country | US
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Telephone | 717-217-6789
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Fax | 717-496-8073
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Provider Business Mailing Address
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Address Line | 69 ST. PAUL DRIVE SUITE A
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-4231
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Country | US
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Telephone | 717-217-6789
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Fax | 717-496-8073
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | OS012881
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License Number State | PA
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