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General NPI Number Information
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NPI Number | 1740695758
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Entity Type | Organization
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Legal Business Name | AAMER KHAN MD LLC
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Dates
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Enumeration Date | 06/27/2014
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Last Update Date | 06/27/2014
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Provider Practice Location Address
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Address Line | 615 N BONITA AVE
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City | PANAMA CITY
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State | FL
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Zip | 32401-3623
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Country | US
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Telephone | 903-280-7990
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 578
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City | PANAMA CITY
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State | FL
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Zip | 32402-0578
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MUHAMMAD AAMER ZAMAN KHAN
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Credential | M.D.
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Telephone | 850-265-0902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME117122
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License Number State | FL
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