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General NPI Number Information
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NPI Number | 1386509230
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Entity Type | Individual
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Provider Name | ZEENA KHAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 400 OLD HOOK RD STE 2-3
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City | WESTWOOD
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State | NJ
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Zip | 07675-2720
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Country | US
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Telephone | 201-781-5850
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Fax |
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Provider Business Mailing Address
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Address Line | 96 CENTRAL AVE
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City | OLD TAPPAN
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State | NJ
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Zip | 07675-7341
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00990000
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License Number State | NJ
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