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General NPI Number Information
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NPI Number | 1881689065
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Entity Type | Individual
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Provider Name | MUHAMMAD A KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 25A JUNE ST
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City | SANFORD
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State | ME
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Zip | 04073-2642
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Country | US
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Telephone | 207-490-7932
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Fax | 207-490-7932
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER DR
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City | BIDDEFORD
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State | ME
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Zip | 04005-9422
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Country | US
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Telephone | 207-283-7000
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Fax | 207-324-9696
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD15206
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License Number State | ME
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