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General NPI Number Information
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NPI Number | 1194661454
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Entity Type | Individual
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Provider Name | RABIA ALI
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Gender | Female
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 1548 W ARDMORE AVE APT 3D
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City | CHICAGO
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State | IL
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Zip | 60660-4259
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Country | US
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Telephone | 773-733-1456
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Fax |
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Provider Business Mailing Address
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Address Line | 1275 8TH ST
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City | ARCATA
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State | CA
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Zip | 95521-5770
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Country | US
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Telephone | 707-826-8633
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Fax | 707-826-6838
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 21800836
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License Number State | IL
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