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General NPI Number Information
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NPI Number | 1902813728
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Entity Type | Individual
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Provider Name | DAVID KHANAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 717 FRONT
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3033
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Country | US
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Telephone | 516-565-4370
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Fax | 516-565-2644
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Provider Business Mailing Address
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Address Line | 717 FRONT
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3033
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Country | US
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Telephone | 516-565-4370
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Fax | 516-565-2644
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 228173
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License Number State | NY
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