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General NPI Number Information
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NPI Number | 1114295771
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Entity Type | Individual
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Provider Name | FERDOUS AHMED ALI D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/09/2011
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 2 CAMBRIDGE LN
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City | NEWTOWN
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State | PA
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Zip | 18940-3325
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Country | US
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Telephone | 267-417-8271
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Fax |
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Provider Business Mailing Address
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Address Line | 32 WELLINGTON RD
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City | NEWTOWN
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State | PA
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Zip | 18940-2423
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Country | US
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Telephone | 321-288-2507
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401413810
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 057629
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 22DI02611500
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DN19663
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DS041823
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License Number State | PA
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