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General NPI Number Information
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NPI Number | 1689122988
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Entity Type | Individual
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Provider Name | JUNAD KHAN BDS, MDS, MPH, PHD
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Gender | Male
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | UNIVERSITY OF ROCHESTER 601 ELMWOOD AVE
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City | ROCHESTER
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State | NY
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Zip | 14642
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Country | US
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Telephone | 585-784-8200
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Fax | 585-784-8207
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Provider Business Mailing Address
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Address Line | 2400 S CLINTON AVE STE 125
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City | ROCHESTER
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State | NY
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Zip | 14618-2668
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Country | US
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Telephone | 585-341-7316
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Fax | 585-341-7320
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 000080
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number | 80
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number | 000080
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License Number State | NY
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