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General NPI Number Information
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NPI Number | 1750860177
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Entity Type | Individual
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Provider Name | MUHAMMAD ASIM KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/07/2018
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Last Update Date | 08/07/2018
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Provider Practice Location Address
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Address Line | 60 E DELAWARE PL, CHICAGO, IL 60611 14TH FLOOR UROLOGY- ANDROLOGY CLINIC
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City | CHICAGO
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State | IL
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Zip | 60611
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Country | US
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Telephone | 312-315-0671
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Fax |
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Provider Business Mailing Address
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Address Line | 1730 N CLARK ST APT 1702
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City | CHICAGO
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State | IL
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Zip | 60614-5858
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Country | US
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Telephone | 312-315-0671
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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