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General NPI Number Information
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NPI Number | 1093513129
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Entity Type | Organization
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Legal Business Name | ALI FOOT AND ANKLE LLC
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 3161 COBB PKWY NW STE 470
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City | KENNESAW
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State | GA
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Zip | 30152-1042
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Country | US
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Telephone | 888-453-0080
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Fax |
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Provider Business Mailing Address
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Address Line | 1975 HIGHWAY 54 W STE 205
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-4794
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Country | US
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Telephone | 888-453-0080
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Fax | 224-732-1399
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Authorized Official
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Title or Position | OWNER
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Name | SADIA M ALI
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Credential | DPM
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Telephone | 678-778-5903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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