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General NPI Number Information
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NPI Number | 1932763398
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Entity Type | Individual
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Provider Name | SABA KHAN RN, NP
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Gender | Female
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 04/30/2019
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Provider Practice Location Address
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Address Line | 24221 CALLE DE LA LOUISA STE 300
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City | LAGUNA HILLS
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State | CA
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Zip | 92653
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Country | US
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Telephone | 949-334-8270
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Fax |
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Provider Business Mailing Address
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Address Line | 8 SAN BONIFACIO
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City | RSM
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State | CA
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Zip | 92688-2560
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Country | US
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Telephone | 949-295-5846
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95005134
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License Number State | CA
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