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General NPI Number Information
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NPI Number | 1396460416
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Entity Type | Organization
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Legal Business Name | NEXUS-MD INC.
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Dates
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Enumeration Date | 10/11/2022
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 919 S. WINCHESTER BLVD
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City | SAN JOSE
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State | CA
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Zip | 95128
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Country | US
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Telephone | 414-469-5111
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Fax |
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Provider Business Mailing Address
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Address Line | 510C E EL CAMINO REAL STE 70266
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City | SUNNYVALE
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State | CA
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Zip | 94087-1940
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Country | US
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Telephone | 414-469-5111
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALI BAKHSHINEJAD
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Credential | PHD
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Telephone | 415-523-4445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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