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General NPI Number Information
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NPI Number | 1548780893
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Entity Type | Individual
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Provider Name | SANA KHAN MD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 90 RIVINGTON ST
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City | NEW YORK
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State | NY
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Zip | 10002
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Country | US
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Telephone | 716-908-7439
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Fax |
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Provider Business Mailing Address
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Address Line | 90 WEST ST APT 20E
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City | NEW YORK
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State | NY
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Zip | 10006-1051
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Country | US
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Telephone | 716-908-7439
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 308303
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License Number State | NY
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