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General NPI Number Information
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NPI Number | 1306814868
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Entity Type | Individual
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Provider Name | ALI HAKIM MESIWALA MD
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Gender | Male
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 3501 JAMBOREE RD STE 1250
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2959
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Country | US
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Telephone | 949-988-7846
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Fax |
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Provider Business Mailing Address
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Address Line | 3501 JAMBOREE RD STE 1250
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2959
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Country | US
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Telephone | 310-497-3975
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Fax | 909-883-7235
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | MD00042260
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | A87133
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License Number State | CA
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