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General NPI Number Information
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NPI Number | 1316528177
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Entity Type | Individual
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Provider Name | ZARLAKHTA KHAN
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Gender | Female
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Dates
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Enumeration Date | 04/14/2021
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 11020 JAMAICA AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2324
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Country | US
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Telephone | 718-850-4644
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Fax | 845-765-9347
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Provider Business Mailing Address
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Address Line | 1000 MONTAUK HWY
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City | WEST ISLIP
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State | NY
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Zip | 11795-4927
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Country | US
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Telephone |
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Fax | 631-376-3420
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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 | 329726
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License Number State | NY
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