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General NPI Number Information
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NPI Number | 1215801444
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Entity Type | Individual
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Provider Name | ALI JAMSHID NP
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Gender | Male
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 180 THOMAS JOHNSON DRIVE
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City | FREDRICK
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State | MD
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Zip | 21702
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Country | US
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Telephone | 301-696-8802
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Fax |
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Provider Business Mailing Address
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Address Line | 180 THOMAS JOHNSON DR
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City | FREDERICK
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State | MD
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Zip | 21702-4409
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Country | US
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Telephone | 301-696-8802
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AC008290
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License Number State | MD
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