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General NPI Number Information
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NPI Number | 1295329506
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Entity Type | Individual
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Provider Name | RUMA ASHRAF ALI O.D.
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Gender | Female
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Dates
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Enumeration Date | 02/26/2021
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 2717 COMMERCIAL CENTER BLVD STE D120
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City | KATY
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State | TX
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Zip | 77494-6464
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Country | US
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Telephone | 404-924-5232
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Fax |
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Provider Business Mailing Address
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Address Line | 2717 COMMERCIAL CENTER BLVD STE D120
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City | KATY
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State | TX
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Zip | 77494-6464
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Country | US
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Telephone | 404-924-5232
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 10177T
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License Number State | TX
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