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General NPI Number Information
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NPI Number | 1356384325
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Entity Type | Individual
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Provider Name | NAUROZ IBRAHIM ALI MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 06/28/2024
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Provider Practice Location Address
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Address Line | 29 SOARING BIRD CT
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City | LAS VEGAS
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State | NV
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Zip | 89135-7866
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Country | US
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Telephone | 702-994-9466
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19546
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City | RENO
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State | NV
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Zip | 89511-1994
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Country | US
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Telephone | 775-335-6069
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Fax | 775-982-5496
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MC-2381
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 13285
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License Number State | NV
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