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General NPI Number Information
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NPI Number | 1326495664
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Entity Type | Individual
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Provider Name | SHUJAT ALI MSPT
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Gender | Male
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Dates
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Enumeration Date | 05/17/2016
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 7989 BELT LINE RD STE 90
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City | DALLAS
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State | TX
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Zip | 75248-5728
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Country | US
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Telephone | 972-942-2475
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Fax |
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Provider Business Mailing Address
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Address Line | 2122 YORK RD STE 300
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City | OAK BROOK
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State | IL
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Zip | 60523-1925
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Country | US
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Telephone | 630-590-4047
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501017540
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1395000
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License Number State | TX
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