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General NPI Number Information
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NPI Number | 1134657794
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Entity Type | Individual
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Provider Name | SAIMA TARIQ ALI APRN
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Gender | Female
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Dates
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Enumeration Date | 05/26/2017
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Last Update Date | 03/19/2018
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Provider Practice Location Address
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Address Line | 12200 PARK CENTRAL DR STE 100
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City | DALLAS
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State | TX
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Zip | 75251-2124
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Country | US
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Telephone | 469-804-8323
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Fax |
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Provider Business Mailing Address
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Address Line | 2417 SAFFIRE WAY
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City | LEWISVILLE
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State | TX
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Zip | 75056-6561
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Country | US
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Telephone | 817-715-3774
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP134030
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License Number State | TX
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