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General NPI Number Information
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NPI Number | 1801275383
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Entity Type | Individual
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Provider Name | GHOUSIA ALIKHAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/29/2015
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 575 BEECH ST STE 402
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City | HOLYOKE
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State | MA
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Zip | 01040
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Country | US
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Telephone | 413-534-2682
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Fax | 413-534-2689
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Provider Business Mailing Address
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Address Line | 575 BEECH ST STE 402
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City | HOLYOKE
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State | MA
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Zip | 01040-2223
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Country | US
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Telephone | 413-534-2682
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Fax | 413-534-2689
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 274610
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 25MA11163600
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License Number State | NJ
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