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NPI 1578883062

NPI 1578883062 : ZAKIAHMAD MAVLI M.D. : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1578883062
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    Entity Type          |    Individual 
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    Provider Name        |    ZAKIAHMAD MAVLI M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/07/2010
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    Last Update Date     |    07/03/2024
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Provider Practice Location Address
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    Address Line         |    1020 29TH ST SUITE 480
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95816
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    Country              |    US
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    Telephone            |    916-733-3777
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10470 OLD PLACERVILLE RD SUITE 100
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95827-2539
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    Country              |    US
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    Telephone            |    800-470-0071
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    Fax                  |    
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    RESIDENT IN TRAINING
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    ME114155
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    17726
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    License Number State |    NV
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Taxonomy #4
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    A127307
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    License Number State |    CA
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Taxonomy #5
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    17726
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    License Number State |    NV
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Taxonomy #6
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    M-14898
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    License Number State |    ID
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Taxonomy #7
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    11403875-1205
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    License Number State |    UT
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Taxonomy #8
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    46675
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    License Number State |    IA
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Taxonomy #9
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    A127307
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    License Number State |    CA
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