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General NPI Number Information
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NPI Number | 1124780440
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Entity Type | Individual
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Provider Name | ALLISHA NALINDA ALI
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Gender | Female
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 1124 N BALLENGER HWY
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City | FLINT
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State | MI
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Zip | 48504-7516
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Country | US
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Telephone | 810-233-6765
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 320376
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City | FLINT
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State | MI
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Zip | 48532-0007
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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 |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302413662
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License Number State | MI
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