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General NPI Number Information
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NPI Number | 1841971884
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Entity Type | Individual
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Provider Name | USMAN AHMED KHOKHAR DPM
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Gender | Male
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 1700 S LINCOLN AVE
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City | LEBANON
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State | PA
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Zip | 17042-7529
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Country | US
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Telephone | 717-272-6621
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Fax |
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Provider Business Mailing Address
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Address Line | 102 STICKLEY DR
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City | MECHANICSBURG
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State | PA
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Zip | 17055-4535
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Country | US
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Telephone | 253-886-3341
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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 | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | SC007378
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License Number State | PA
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