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General NPI Number Information
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NPI Number | 1346404902
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Entity Type | Individual
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Provider Name | PREETHA ALI M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 106 IRVING ST NW STE 2100N
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City | WASHINGTON
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State | DC
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Zip | 20010-2927
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Country | US
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Telephone | 202-877-8484
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Fax | 202-877-8483
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Provider Business Mailing Address
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Address Line | 106 IRVING ST NW STE 2100N
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City | WASHINGTON
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State | DC
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Zip | 20010-2927
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Country | US
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Telephone | 202-877-8484
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Fax | 202-877-8483
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | ME148704
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | D0084106
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | MD210002850
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License Number State | DC
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