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General NPI Number Information
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NPI Number | 1811054539
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Entity Type | Individual
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Provider Name | IMRAN A KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 4746 ROWAN RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-5601
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Country | US
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Telephone | 727-375-7788
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Fax | 727-375-7772
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Provider Business Mailing Address
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Address Line | 4746 ROWAN RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-5601
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Country | US
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Telephone | 727-375-7788
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Fax | 727-375-7772
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME106316
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License Number State | FL
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