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General NPI Number Information
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NPI Number | 1184535197
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Entity Type | Individual
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Provider Name | ALISHA UZMA ASIF
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Gender | Female
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 4624 NW 156TH ST
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City | EDMOND
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State | OK
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Zip | 73013-2099
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Country | US
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Telephone | 405-285-5550
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Fax |
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Provider Business Mailing Address
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Address Line | 21W674 CLIFFORD RD
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City | GLEN ELLYN
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State | IL
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Zip | 60137-7000
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Country | US
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Telephone | 405-414-0075
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | IL
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