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General NPI Number Information
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NPI Number | 1962495945
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Entity Type | Individual
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Provider Name | SOBIA JAVED KHAWAJA M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 787 37TH ST STE 140
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City | VERO BEACH
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State | FL
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Zip | 32960-7305
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Country | US
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Telephone | 772-257-8224
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Fax | 772-252-3245
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Provider Business Mailing Address
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Address Line | 1555 INDIAN RIVER BLVD STE B210
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City | VERO BEACH
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State | FL
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Zip | 32960-7113
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Country | US
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Telephone | 772-257-8224
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Fax | 772-252-3245
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME100474
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License Number State | FL
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