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General NPI Number Information
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NPI Number | 1467398115
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Entity Type | Organization
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Legal Business Name | KHAN PEDIATRIC DENTISTRY, PLLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 127 S BROADWAY
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City | YONKERS
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State | NY
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Zip | 10701-4006
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Country | US
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Telephone | 914-378-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 600 NORTH AVE UNIT 313
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-2638
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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 | OWNER/MEMBER
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Name | SAMIA KHAN
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Credential |
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Telephone | 201-983-8663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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