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NPI 1255137303

NPI 1255137303 : SAFIA ALI CORPORATION : PARKLAND, FL

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General NPI Number Information
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    NPI Number           |    1255137303
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAFIA ALI CORPORATION 
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Dates
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    Enumeration Date     |    02/20/2025
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    Last Update Date     |    02/20/2025
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Provider Practice Location Address
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    Address Line         |    7743 NW 60TH LN 
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    City                 |    PARKLAND
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    State                |    FL
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    Zip                  |    33067-3326
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    Country              |    US
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    Telephone            |    407-558-9397
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7743 NW 60TH LN 
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    City                 |    PARKLAND
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    State                |    FL
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    Zip                  |    33067-3326
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SAFIA A ALI 
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    Credential           |    
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    Telephone            |    407-558-9397
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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       |    
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    License Number State |    
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