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General NPI Number Information
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NPI Number | 1457624082
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Entity Type | Organization
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Legal Business Name | KASHIF R. ALI,MD,PA
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 10/07/2016
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Provider Practice Location Address
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Address Line | 10900 JONES RD SUITE 1
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City | HOUSTON
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State | TX
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Zip | 77065-5471
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Country | US
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Telephone | 678-471-9592
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Fax |
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Provider Business Mailing Address
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Address Line | 15810 LONG NECK DR
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City | MAGNOLIA
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State | TX
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Zip | 77355-3655
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Country | US
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Telephone | 832-277-1178
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KASHIF R ALI
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Credential | MD
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Telephone | 678-471-9592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L2089
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License Number State | TX
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