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General NPI Number Information
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NPI Number | 1194214312
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Entity Type | Individual
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Provider Name | MUSTAFA H ALIAKBR
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Gender | Male
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Dates
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Enumeration Date | 05/02/2018
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 6020 RUTLAND DR UNIT 22
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City | CARMICHAEL
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State | CA
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Zip | 95608-0515
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Country | US
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Telephone | 650-267-1858
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Fax | 916-905-0094
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Provider Business Mailing Address
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Address Line | 6020 RUTLAND DR UNIT B322
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City | CARMICHAEL
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State | CA
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Zip | 95608-0515
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Country | US
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Telephone | 650-267-1858
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Fax | 916-905-0094
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number | 1033188
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License Number State | CA
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