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General NPI Number Information
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NPI Number | 1093462715
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Entity Type | Organization
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Legal Business Name | AZZA ALI PLLC
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Dates
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Enumeration Date | 03/02/2022
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 6001 W OUTER DR STE 445
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City | DETROIT
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State | MI
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Zip | 48235-2686
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Country | US
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Telephone | 313-966-9777
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 77
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City | BIRMINGHAM
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State | MI
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Zip | 48012-0077
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Country | US
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Telephone | 517-918-0878
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AZZA ALI
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Credential | M.D.
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Telephone | 313-966-9777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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