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General NPI Number Information
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NPI Number | 1326160961
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Entity Type | Individual
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Provider Name | ALAN A. ALI PA
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Gender | Male
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13TH CIVIL SUPPORT TEAM 570 READ SCHOOLHOUSE ROAD
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City | COVENTRY
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State | RI
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Zip | 02816
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Country | US
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Telephone | 401-392-0821
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Fax | 401-392-0822
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Provider Business Mailing Address
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Address Line | 21 OLD HOPKINTON CEMETERY RD
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City | ASHAWAY
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State | RI
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Zip | 02804-2221
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Country | US
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Telephone | 401-315-5041
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Fax | 401-315-5041
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA00364
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License Number State | RI
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