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General NPI Number Information
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NPI Number | 1326222639
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Entity Type | Organization
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Legal Business Name | ALIKHAN, LLC
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Dates
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Enumeration Date | 12/21/2007
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 441 S 48TH ST SUITE #102
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City | TEMPE
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State | AZ
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Zip | 85281-2303
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Country | US
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Telephone | 480-945-2558
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Fax | 480-945-2354
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Provider Business Mailing Address
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Address Line | 441 S 48TH ST SUITE #102
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City | TEMPE
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State | AZ
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Zip | 85281-2303
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Country | US
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Telephone | 480-945-2558
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Fax | 480-945-2354
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Authorized Official
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Title or Position | MD
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Name | INAYAT M. ALIKHAN
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Credential |
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Telephone | 480-945-2558
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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 | 12985
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License Number State | AZ
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