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General NPI Number Information
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NPI Number | 1720991193
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Entity Type | Organization
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Legal Business Name | NIMRI MEDICAL PLLC
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 4202 N 20TH AVE
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City | PHOENIX
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State | AZ
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Zip | 85015-5101
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Country | US
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Telephone | 602-264-3824
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2510
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City | MESA
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State | AZ
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Zip | 85214-2510
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Country | US
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Telephone | 480-821-9339
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Fax | 480-821-9555
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEXANDER NIMRI
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Credential | MD
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Telephone | 480-821-9339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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