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General NPI Number Information
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NPI Number | 1871315911
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Entity Type | Organization
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Legal Business Name | MALEKZADEHPSYCHIATRY, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 22 SAINT CLAIRE LN
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City | PLEASANT HILL
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State | CA
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Zip | 94523-1130
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Country | US
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Telephone | 925-233-6931
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 CONTRA COSTA BLVD # 1164
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City | PLEASANT HILL
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State | CA
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Zip | 94523-3742
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Country | US
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Telephone | 925-233-6931
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Fax |
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Authorized Official
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Title or Position | ADULT PSYCHIATRIST/ PRESIDENT
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Name | ALEXANDER NGUYEN ALI MALEKZADEH
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Credential | DO
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Telephone | 925-233-6931
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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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