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General NPI Number Information
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NPI Number | 1467614438
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Entity Type | Individual
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Provider Name | SADIA MAHMOOD ALI DPM
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Gender | Female
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 3161 COBB PKWY NW STE 470
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City | KENNESAW
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State | GA
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Zip | 30152-1042
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Country | US
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Telephone | 678-262-5108
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Fax | 678-996-4072
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Provider Business Mailing Address
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Address Line | 3161 COBB PKWY NW STE 470
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City | KENNESAW
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State | GA
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Zip | 30152-1042
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Country | US
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Telephone | 678-262-5108
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Fax | 678-996-4072
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016005506
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | POD001220
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 135
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | POD001220
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License Number State | GA
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