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General NPI Number Information
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NPI Number | 1144654187
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Entity Type | Organization
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Legal Business Name | WAHEEDA F. ALI, MD LLC
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Dates
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Enumeration Date | 08/27/2013
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 31 BEECH TREE DR
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City | GLEN MILLS
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State | PA
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Zip | 19342-1172
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Country | US
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Telephone | 610-237-5088
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 455
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City | GLEN MILLS
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State | PA
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Zip | 19342-0455
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Country | US
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Telephone | 610-237-5088
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. WAHEEDA F ALI
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Credential | MD
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Telephone | 610-237-5088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD059715L
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License Number State | PA
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