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General NPI Number Information
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NPI Number | 1558531566
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Entity Type | Individual
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Provider Name | SAMEERAH ALI FNP
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Gender | Female
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 6700 MODESTO AVE NE APT 2071
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-3210
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Country | US
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Telephone | 470-426-3055
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Fax | 470-426-3055
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Provider Business Mailing Address
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Address Line | 6700 MODESTO AVE NE APT 2071
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-3210
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Country | US
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Telephone |
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 16706
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0000016706
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 59289
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | RN 138998
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License Number State | AZ
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