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General NPI Number Information
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NPI Number | 1821400045
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Entity Type | Organization
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Legal Business Name | PSYCHIATRY EXPRESS
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 1337 HOWE AVE SUITE 135
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City | SACRAMENTO
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State | CA
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Zip | 95825-3361
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Country | US
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Telephone | 606-392-4055
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Fax |
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Provider Business Mailing Address
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Address Line | 5714 FOLSOM BLVD 273
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City | SACRAMENTO
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State | CA
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Zip | 95819-4608
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Country | US
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Telephone | 606-392-4055
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZAHEER AHMED
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Credential | MD
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Telephone | 606-392-4055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 127721
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License Number State | CA
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