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General NPI Number Information
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NPI Number | 1669087391
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Entity Type | Organization
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Legal Business Name | TANYA T. KHAN, MD PLLC
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 10/09/2020
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Provider Practice Location Address
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Address Line | 3242 PRESTON RD STE 120
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City | PLANO
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State | TX
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Zip | 75093-3320
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Country | US
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Telephone | 972-393-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 3242 PRESTON RD STE 120
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City | PLANO
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State | TX
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Zip | 75093-3320
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Country | US
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Telephone | 972-393-5437
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Fax |
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Authorized Official
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Title or Position | OCULOPLASTIC RECONSTRUCTIVE SURGEON
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Name | DR. TANYA KHAN
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Credential | MD
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Telephone | 972-393-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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