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General NPI Number Information
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NPI Number | 1912590415
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Entity Type | Individual
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Provider Name | ABDALLAH MOHAMED AHMED KHASHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/16/2021
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 1 CAPITAL WAY
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City | PENNINGTON
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State | NJ
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Zip | 08534-2520
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Country | US
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Telephone | 609-303-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 780125
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City | PHILADELPHIA
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State | PA
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Zip | 19178-0125
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Country | US
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Telephone | 804-922-4844
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0101283102
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA12182300
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License Number State | NJ
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