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General NPI Number Information
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NPI Number | 1568689677
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Entity Type | Individual
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Provider Name | JULIANNE MELISSA KHAN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 04/08/2021
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Provider Practice Location Address
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Address Line | 31 HUDSON YARDS FL 10
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City | NEW YORK
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State | NY
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Zip | 10001-2170
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Country | US
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Telephone | 646-422-5960
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Fax |
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Provider Business Mailing Address
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Address Line | 156 W 74TH ST APT C
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City | NEW YORK
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State | NY
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Zip | 10023-2304
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Country | US
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Telephone | 212-380-1096
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 025527-1
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License Number State | NY
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