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General NPI Number Information
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NPI Number | 1669799680
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Entity Type | Individual
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Provider Name | ALEXANDER NGUYEN ALI MALEKZADEH D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/29/2010
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 2120 CONTRA COSTA BLVD # 1164
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City | PLEASANT HILL
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State | CA
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Zip | 94523-3742
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Country | US
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Telephone | 925-233-6931
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 CONTRA COSTA BLVD # 1164
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City | PLEASANT HILL
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State | CA
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Zip | 94523-3742
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Country | US
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Telephone | 925-233-6931
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20A13830
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 13830
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License Number State | CA
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