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General NPI Number Information
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NPI Number | 1831080589
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Entity Type | Individual
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Provider Name | ANIKA NURIN KHAN PHD
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Gender | Female
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 201 N PRESIDENTIAL BLVD STE 102
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City | BALA CYNWYD
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State | PA
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Zip | 19004-1257
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Country | US
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Telephone | 919-889-0002
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Fax |
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Provider Business Mailing Address
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Address Line | 1718 MONTROSE ST APT 1
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City | PHILADELPHIA
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State | PA
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Zip | 19146-1933
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Country | US
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Telephone | 919-889-0002
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS020410
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License Number State | PA
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