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General NPI Number Information
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NPI Number | 1225925654
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Entity Type | Individual
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Provider Name | SHAJNA KHAN OD
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Gender | Female
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 2835 LAFAYETTE RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46222-2147
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Country | US
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Telephone | 317-926-0283
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Fax | 855-326-4293
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Provider Business Mailing Address
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Address Line | 2839 LAFAYETTE RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46222-2147
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Country | US
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Telephone | 317-924-1300
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Fax | 855-326-4293
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18004587A
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License Number State | IN
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