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General NPI Number Information
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NPI Number | 1003975749
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Entity Type | Individual
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Provider Name | ALCIRA REVELO SAHAMI MD
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Gender | Female
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 1035 PLACER ST
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City | REDDING
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State | CA
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Zip | 96001-1170
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Country | US
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Telephone | 530-246-5818
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Fax | 530-245-9927
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Provider Business Mailing Address
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Address Line | PO BOX 22501
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City | BAKERSFIELD
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State | CA
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Zip | 93390-2501
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Country | US
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Telephone | 530-246-5818
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Fax | 530-245-9927
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | A86015
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License Number State | CA
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