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General NPI Number Information
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NPI Number | 1558051987
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Entity Type | Organization
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Legal Business Name | ALEX SHOKOUHI MOHSENI MD PC
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Dates
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Enumeration Date | 05/09/2023
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 1764 HAMLET ST
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City | SAN MATEO
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State | CA
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Zip | 94403-1111
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Country | US
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Telephone | 469-209-1802
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Fax |
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Provider Business Mailing Address
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Address Line | 8951 CYPRESS WATERS BLVD STE 160-1045
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City | COPPELL
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State | TX
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Zip | 75019-4661
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Country | US
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Telephone | 469-209-1802
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALEX MOHSENI
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Credential | MD
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Telephone | 469-209-1802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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