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General NPI Number Information
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NPI Number | 1770635930
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Entity Type | Individual
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Provider Name | MUHAMMAD BILAL KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 05/18/2021
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Provider Practice Location Address
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Address Line | 1112 S CUSHMAN AVE
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City | TACOMA
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State | WA
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Zip | 98405-3631
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Country | US
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Telephone | 253-593-2144
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Fax | 253-593-4125
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Provider Business Mailing Address
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Address Line | PO BOX 26485
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City | FEDERAL WAY
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State | WA
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Zip | 98093-3485
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Country | US
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Telephone | 253-820-6757
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD00042239
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License Number State | WA
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