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General NPI Number Information
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NPI Number | 1013725977
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Entity Type | Organization
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Legal Business Name | ALI NAWAZ LLC
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Dates
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Enumeration Date | 12/24/2024
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 2940 HUNTER CREST DR
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City | EDMOND
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State | OK
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Zip | 73034-0021
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Country | US
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Telephone | 917-558-4195
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Fax |
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Provider Business Mailing Address
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Address Line | 2940 HUNTER CREST DR
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City | EDMOND
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State | OK
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Zip | 73034-0021
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER AND CEO
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Name | ALI TIPU
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Credential | MD
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Telephone | 917-558-4195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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