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General NPI Number Information
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NPI Number | 1851681175
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Entity Type | Organization
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Legal Business Name | FIRST AMERICAN MEDICAL INC
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 04/08/2011
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Provider Practice Location Address
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Address Line | 141 THOMAS JOHNSON DR STE 190
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City | FREDERICK
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State | MD
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Zip | 21702-4502
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Country | US
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Telephone | 732-485-9996
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Fax | 732-907-1897
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Provider Business Mailing Address
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Address Line | 141 THOMAS JOHNSON DR STE 190
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City | FREDERICK
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State | MD
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Zip | 21702-4502
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Country | US
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Telephone | 732-485-9996
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Fax | 732-907-1897
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Authorized Official
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Title or Position | CEO
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Name | MUHAMMAD KHAN
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Credential | MD
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Telephone | 732-485-9996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | MD
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