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General NPI Number Information
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NPI Number | 1821848342
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Entity Type | Individual
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Provider Name | TAHIRA N/A KHAN
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Gender | Female
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Dates
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Enumeration Date | 03/26/2024
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 1915 N CENTRAL EXPY STE 150
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City | PLANO
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State | TX
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Zip | 75075-6943
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Country | US
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Telephone | 469-825-6061
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Fax | 469-825-6062
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Provider Business Mailing Address
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Address Line | 1915 N CENTRAL EXPY STE 150
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City | PLANO
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State | TX
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Zip | 75075-6943
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Country | US
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Telephone | 469-825-6061
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Fax | 469-825-6062
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PCT.0016106
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 73580
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License Number State | TX
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