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General NPI Number Information
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NPI Number | 1528400397
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Entity Type | Individual
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Provider Name | SAAD KHAN D.O
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Gender | Male
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Dates
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Enumeration Date | 07/22/2013
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Last Update Date | 06/16/2022
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Provider Practice Location Address
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Address Line | 1205 TROY SCHENECTADY RD STE 101
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City | LATHAM
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State | NY
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Zip | 12110-1074
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Country | US
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Telephone | 518-348-3176
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Fax |
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Provider Business Mailing Address
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Address Line | 200 S SERVICE RD STE 101
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-2133
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Country | US
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Telephone | 516-340-0340
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Fax | 858-769-1571
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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 | 2084P0015X
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Taxonomy Name | Psychosomatic Medicine Physician
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License Number | 265138
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | S3211
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084P0015X
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Taxonomy Name | Psychosomatic Medicine Physician
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License Number | 288055
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License Number State | NY
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