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General NPI Number Information
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NPI Number | 1841990835
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Entity Type | Individual
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Provider Name | NADER NASSAR
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Gender | Male
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4545 SYCAMORE AVE UNIT B
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City | SACRAMENTO
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State | CA
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Zip | 95841-4509
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Country | US
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Telephone | 916-595-9991
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Fax |
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Provider Business Mailing Address
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Address Line | 8313 LEATHERLEAF CT
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City | SACRAMENTO
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State | CA
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Zip | 95829-8142
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Country | US
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Telephone | 916-595-9991
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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 | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | 342700984
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License Number State | CA
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