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General NPI Number Information
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NPI Number | 1649064841
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Entity Type | Organization
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Legal Business Name | A1 FAMILY PSYCHIATRY
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 140 N 8TH ST STE 418
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City | LINCOLN
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State | NE
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Zip | 68508-1359
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Country | US
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Telephone | 402-817-5813
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Fax |
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Provider Business Mailing Address
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Address Line | 140 N 8TH ST STE 418
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City | LINCOLN
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State | NE
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Zip | 68508-1359
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN, CEO
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Name | DR. ISMATT REZA NIAZI
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Credential | MD
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Telephone | 402-817-5813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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