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General NPI Number Information
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NPI Number | 1518639046
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Entity Type | Individual
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Provider Name | MONA ALI
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Gender | Female
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Dates
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Enumeration Date | 10/03/2021
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Last Update Date | 01/29/2022
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Provider Practice Location Address
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Address Line | 5100 SANDERLIN AVE STE 1600
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City | MEMPHIS
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State | TN
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Zip | 38117-4320
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Country | US
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Telephone | 901-677-1090
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Fax |
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Provider Business Mailing Address
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Address Line | 8137 WATERFORD CIRCLE APT 203
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City | MEMPHIS
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State | TN
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Zip | 38125
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Country | US
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Telephone | 703-915-3267
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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