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General NPI Number Information
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NPI Number | 1003706599
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Entity Type | Organization
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Legal Business Name | AK DOMA MEDICAL CORP
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 2710 GATEWAY OAKS DR STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95833-3505
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Country | US
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Telephone | 916-925-7010
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Fax |
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Provider Business Mailing Address
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Address Line | 2915 CALIFORNIA AVE
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City | CARMICHAEL
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State | CA
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Zip | 95608-4501
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Country | US
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Telephone | 916-899-1584
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ANAMIKA DOMA
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Credential | DO
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Telephone | 916-899-1584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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