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General NPI Number Information
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NPI Number | 1386790251
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Entity Type | Organization
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Legal Business Name | NASREEN KHAN
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 316 5TH AVE ROOM 404
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City | NEW YORK
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State | NY
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Zip | 10001-3602
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Country | US
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Telephone | 212-868-0946
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Fax | 212-665-6895
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Provider Business Mailing Address
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Address Line | 316 5TH AVE ROOM 404
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City | NEW YORK
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State | NY
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Zip | 10001-3602
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Country | US
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Telephone | 212-868-0946
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Fax | 212-665-6895
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MRS. NASREEN KHAN
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Credential | R.N.
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Telephone | 212-868-0946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 9214L001
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License Number State | NY
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