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General NPI Number Information
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NPI Number | 1497320733
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Entity Type | Individual
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Provider Name | PAULINA REIBAN KHANNA DC
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Gender | Female
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 21 S SPRING VALLEY RD
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City | PARAMUS
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State | NJ
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Zip | 07652-2624
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Country | US
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Telephone | 201-712-9113
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Fax |
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Provider Business Mailing Address
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Address Line | 7912 RIVER RD APT 411
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City | NORTH BERGEN
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State | NJ
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Zip | 07047-6292
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Country | US
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Telephone | 201-367-8598
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X012772
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00776700
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License Number State | NJ
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