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General NPI Number Information
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NPI Number | 1699611657
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Entity Type | Individual
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Provider Name | HADI ALI KHAN DMD
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Gender | Male
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 4521 KINGWOOD DR STE 180
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City | KINGWOOD
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State | TX
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Zip | 77345-2603
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Country | US
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Telephone | 281-853-9718
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Fax |
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Provider Business Mailing Address
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Address Line | 10015 SAND DOLLAR DR
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City | HOUSTON
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State | TX
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Zip | 77065-3982
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Country | US
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Telephone | 832-560-5956
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | TX
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