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General NPI Number Information
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NPI Number | 1285084038
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Entity Type | Organization
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Legal Business Name | NOYDEEN SISTERS MEDICAL GROUP & CLINICS, INC
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 655 DAVE WARD DR STE 103
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City | CONWAY
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State | AR
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Zip | 72034-7145
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Country | US
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Telephone | 501-209-4040
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Fax | 501-205-1776
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Provider Business Mailing Address
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Address Line | 655 DAVE WARD DR STE 103
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City | CONWAY
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State | AR
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Zip | 72034-7145
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Country | US
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Telephone | 501-209-4040
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Fax | 501-205-1776
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Authorized Official
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Title or Position | OWNER, CEO
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Name | AHMED ALI
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Credential | M.D
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Telephone | 501-209-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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