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General NPI Number Information
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NPI Number | 1215450960
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Entity Type | Individual
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Provider Name | MS. TEMIMA ALI
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Gender | Female
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10931 E INDEPENDENCE BLVD STE T
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City | MATTHEWS
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State | NC
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Zip | 28105-5056
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Country | US
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Telephone | 704-649-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 5929 MEADOW HILL DR
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City | CHARLOTTE
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State | NC
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Zip | 28212-4519
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Country | US
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Telephone | 704-649-8800
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State |
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