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General NPI Number Information
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NPI Number | 1831854447
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Entity Type | Organization
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Legal Business Name | SHAMYNDS HEALING CENTER PC
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Dates
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Enumeration Date | 11/08/2021
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 2012 19TH ST STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95818-1668
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Country | US
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Telephone | 916-538-6498
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Fax | 916-498-2457
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Provider Business Mailing Address
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Address Line | 2012 19TH ST STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95818-1668
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Country | US
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Telephone | 916-538-6498
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Fax | 916-898-2457
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | DR. ALYA ZIA AHMAD
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Credential | MD
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Telephone | 559-623-7858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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