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NPI 1154401347

NPI 1154401347 : NAEEM AKHTAR MD INC : MADERA, CA

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General NPI Number Information
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    NPI Number           |    1154401347
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    Entity Type          |    Organization 
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    Legal Business Name  |    NAEEM AKHTAR MD INC 
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Dates
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    Enumeration Date     |    10/16/2006
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    Last Update Date     |    08/25/2020
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Provider Practice Location Address
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    Address Line         |    451 E ALMOND AVE STE 103 
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    City                 |    MADERA
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    State                |    CA
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    Zip                  |    93637-5562
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    Country              |    US
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    Telephone            |    559-673-4000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    451 E ALMOND AVE STE 103 
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    City                 |    MADERA
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    State                |    CA
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    Zip                  |    93637-5562
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    Country              |    US
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    Telephone            |    559-673-4000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |    MISS CORALIE  BOHNISCH 
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    Credential           |    
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    Telephone            |    559-673-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM2500X
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    Taxonomy Name        |    Medical Specialty Clinic/Center
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    License Number       |    00A450510
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    License Number State |    CA
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