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General NPI Number Information
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NPI Number | 1518588060
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Entity Type | Individual
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Provider Name | MUHAMMAD ARMUGHAN ALI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/06/2020
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Last Update Date | 09/16/2023
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Provider Practice Location Address
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Address Line | 405 W JACKSON ST
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City | CARBONDALE
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State | IL
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Zip | 62901-1462
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Country | US
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Telephone | 269-779-0373
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Fax |
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Provider Business Mailing Address
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Address Line | 949 S MAPLE ST
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City | CARTERVILLE
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State | IL
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Zip | 62918-6144
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Country | US
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Telephone | 269-779-0373
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036.164375
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4351046924
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License Number State | MI
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