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General NPI Number Information
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NPI Number | 1841234580
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Entity Type | Individual
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Provider Name | DOMINIQUE EL-KHAWAND M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 06/13/2016
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Provider Practice Location Address
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Address Line | 35 MONUMENT RD SUITE 204
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City | YORK
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State | PA
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Zip | 17403-5074
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Country | US
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Telephone | 717-851-2443
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Fax | 717-851-6129
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Provider Business Mailing Address
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Address Line | 3421 CONCORD RD
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City | YORK
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State | PA
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Zip | 17402-9001
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Country | US
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Telephone | 717-851-2443
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Fax | 717-851-6129
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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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | MD440249
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License Number State | PA
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