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General NPI Number Information
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NPI Number | 1417747494
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Entity Type | Individual
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Provider Name | ALIYAH SHAH
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Gender | Female
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1716 9TH AVENUE SOUTH
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City | BIRMINGHAM
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State | AL
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Zip | 35294-2186
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Country | US
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Telephone | 205-934-4194
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Fax |
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Provider Business Mailing Address
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Address Line | 7190 RIVERSIDE WAY
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City | ATLANTA
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State | GA
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Zip | 30328-1137
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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