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General NPI Number Information
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NPI Number | 1477644003
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Entity Type | Individual
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Provider Name | SAMIRA KHERA MD
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 40 HURLEY AVENUE SUITE 11
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City | KINGSTON
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State | NY
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Zip | 12401-3738
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Country | US
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Telephone | 845-338-8680
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Fax | 845-338-8693
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Provider Business Mailing Address
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Address Line | 40 HURLEY AVENUE SUITE 11
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City | KINGSTON
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State | NY
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Zip | 12401-3738
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Country | US
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Telephone | 845-338-8680
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Fax | 845-338-8693
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35716
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 250995
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 250995
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License Number State | NY
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