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General NPI Number Information
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NPI Number | 1083341838
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Entity Type | Organization
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Legal Business Name | PEAK MEDICAL GROUP PC
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Dates
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Enumeration Date | 08/02/2022
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 8029 W 166TH PI
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City | OVERLAND PARK
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State | KS
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Zip | 66085
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Country | US
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Telephone | 202-980-2817
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Fax |
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Provider Business Mailing Address
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Address Line | 8029 W 166TH PL
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City | OVERLAND PARK
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State | KS
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Zip | 66085-8237
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Country | US
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Telephone | 310-683-8538
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANEEL AHMED URSANI
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Credential | MD
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Telephone | 310-683-8538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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