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General NPI Number Information
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NPI Number | 1053439661
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Entity Type | Organization
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Legal Business Name | NOOR Z KHAN, M.D
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 72 NEW HYDE PARK RD
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-3638
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Country | US
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Telephone | 516-352-1136
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Fax | 718-323-6576
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Provider Business Mailing Address
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Address Line | 72 NEW HYDE PARK RD
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-3638
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Country | US
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Telephone | 516-352-1136
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Fax | 718-323-6576
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. NOOR Z KHAN
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Credential | M.D
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Telephone | 516-352-1136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 160701
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License Number State | NY
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