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General NPI Number Information
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NPI Number | 1902755879
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Entity Type | Individual
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Provider Name | ZAINAB KHAN
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Gender | Female
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Dates
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Enumeration Date | 01/24/2026
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Last Update Date | 01/24/2026
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Provider Practice Location Address
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Address Line | 12 JEFFERSON BLVD STE 2
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City | STATEN ISLAND
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State | NY
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Zip | 10312-3330
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Country | US
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Telephone | 718-500-1726
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Fax |
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Provider Business Mailing Address
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Address Line | 15 JASPER ST
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City | STATEN ISLAND
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State | NY
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Zip | 10314-6303
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Country | US
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Telephone | 718-500-1726
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P139626
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License Number State | NY
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