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General NPI Number Information
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NPI Number | 1861146284
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Entity Type | Organization
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Legal Business Name | MUGEN PSYCHIATRY LLC
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Dates
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Enumeration Date | 02/04/2022
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Last Update Date | 02/07/2022
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Provider Practice Location Address
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Address Line | 3023 N CLARK ST STE 593
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City | CHICAGO
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State | IL
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Zip | 60657-5200
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Country | US
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Telephone | 205-427-9243
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Fax | 314-405-9688
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Provider Business Mailing Address
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Address Line | 3023 N CLARK ST STE 593
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City | CHICAGO
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State | IL
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Zip | 60657-5200
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Country | US
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Telephone | 205-427-9243
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Fax | 314-405-9688
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. ALAN AKIRA
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Credential | MD
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Telephone | 205-427-9243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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