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General NPI Number Information
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NPI Number | 1518444058
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Entity Type | Individual
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Provider Name | MR. MIR KARAMAT ALI
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Gender | Male
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Dates
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Enumeration Date | 07/27/2018
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 2403 PROFESSIONAL DR
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City | SANTA ROSA
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State | CA
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Zip | 95403-3007
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Country | US
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Telephone | 707-544-3295
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2418
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City | MONROVIA
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State | CA
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Zip | 91017-6418
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Country | US
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Telephone | 626-533-7168
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 18973
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License Number State | CA
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