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General NPI Number Information
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NPI Number | 1235472192
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Entity Type | Individual
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Provider Name | ALISHA Z JIWANI M.D., MPH
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Gender | Female
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 02/20/2023
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Provider Practice Location Address
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Address Line | 2208 UNIVERSITY BLVD STE 102
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City | BIRMINGHAM
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State | AL
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Zip | 35233-2313
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Country | US
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Telephone | 832-418-9606
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Fax |
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Provider Business Mailing Address
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Address Line | 2208 UNIVERSITY BLVD STE 102
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City | BIRMINGHAM
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State | AL
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Zip | 35233-2313
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Country | US
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Telephone | 832-418-9606
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 37123
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 281343
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | R1392
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 56598
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD.37123
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License Number State | AL
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