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General NPI Number Information
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NPI Number | 1114065042
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Entity Type | Organization
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Legal Business Name | NAGUI ACHAMALLAH MD, INC.
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1000 BURNETT AVE SUITE 435
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City | CONCORD
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State | CA
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Zip | 94520
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Country | US
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Telephone | 925-681-2645
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Fax | 925-681-2645
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Provider Business Mailing Address
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Address Line | 1000 BURNETT AVE SUITE 435
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City | CONCORD
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State | CA
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Zip | 94520
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Country | US
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Telephone | 925-681-2645
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Fax | 925-681-2645
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Authorized Official
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Title or Position | PRESIDENT
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Name | NAGUI ACHAMALLAH
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Credential | MD
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Telephone | 925-681-2645
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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 | A48988
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License Number State | CA
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