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General NPI Number Information
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NPI Number | 1093131559
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Entity Type | Organization
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Legal Business Name | SAMEERAH ALI MOBILE MED PLLC
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Dates
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Enumeration Date | 03/07/2014
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Last Update Date | 08/21/2014
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Provider Practice Location Address
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Address Line | 1602 8TH AVE S
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City | NASHVILLE
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State | TN
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Zip | 37203-5009
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Country | US
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Telephone | 615-379-8474
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Fax | 615-730-7132
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Provider Business Mailing Address
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Address Line | 2072 NASHBORO BLVD
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City | NASHVILLE
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State | TN
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Zip | 37217-3869
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Country | US
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Telephone | 480-457-0422
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | SAMEERAH ALI
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Credential | FNP
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Telephone | 480-457-0422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | TN
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