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General NPI Number Information
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NPI Number | 1902086598
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Entity Type | Organization
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Legal Business Name | BOKHARI & BOKHARI, PLLC.
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Dates
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Enumeration Date | 11/12/2007
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 3800 SPRINGHURST BLVD SUITE B
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City | LOUISVILLE
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State | KY
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Zip | 40241-6138
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Country | US
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Telephone | 502-425-4666
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Fax | 502-425-3939
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Provider Business Mailing Address
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Address Line | 3800 SPRINGHURST BLVD SUITE B
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City | LOUISVILLE
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State | KY
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Zip | 40241-6138
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Country | US
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Telephone | 502-425-4666
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Fax | 502-425-3939
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Authorized Official
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Title or Position | OWNER/ PROVIDER
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Name | DR. HAMMAD HAIDER BOKHARI
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Credential | M.D.
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Telephone | 502-425-4666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 38271
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License Number State | KY
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