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General NPI Number Information
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NPI Number | 1356909899
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Entity Type | Organization
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Legal Business Name | AKAZA LLC
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 05/30/2019
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Provider Practice Location Address
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Address Line | 1104 CORPORATE WAY STE 216
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City | SACRAMENTO
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State | CA
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Zip | 95831-3875
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Country | US
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Telephone | 844-397-4337
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Fax | 916-429-3276
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Provider Business Mailing Address
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Address Line | 1104 CORPORATE WAY STE 216
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City | SACRAMENTO
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State | CA
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Zip | 95831-3875
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Country | US
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Telephone | 844-397-4337
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Fax | 916-429-3276
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | KHAULA NIXON
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Credential | MBA EA
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Telephone | 844-397-4337
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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 |
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License Number State |
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