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General NPI Number Information
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NPI Number | 1902118458
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Entity Type | Individual
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Provider Name | DR. AMEER HAZMA KHAN
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Gender | Male
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 1144 N ROAD ST
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-3473
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Country | US
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Telephone | 252-384-4804
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Fax | 252-384-4238
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Provider Business Mailing Address
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Address Line | 1245G CEDAR RD # 113
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City | CHESAPEAKE
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State | VA
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Zip | 23322-7103
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Country | US
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Telephone |
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 0101273049
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 2024-01662
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License Number State | NC
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