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General NPI Number Information
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NPI Number | 1396472361
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Entity Type | Individual
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Provider Name | SAJEEL AHMAD KHAN OD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 3 ATRIUM DR
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City | ALBANY
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State | NY
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Zip | 12205-1417
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Country | US
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Telephone | 518-438-5273
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Fax |
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Provider Business Mailing Address
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Address Line | 32 WEST GLEN AVENUE
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City | STONEY CREEK
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State | ONTARIO
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Zip | L8J0H7
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Country | CA
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NY
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