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General NPI Number Information
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NPI Number | 1568839934
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Entity Type | Individual
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Provider Name | BIBI F. ALI
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Gender | Female
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Dates
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Enumeration Date | 09/01/2015
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | HEALTH SCIENCE TOWER LEVEL 19 RM 068
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City | STONY BROOK
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State | NY
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Zip | 11794-5558
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Country | US
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Telephone | 631-444-8410
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Fax |
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Provider Business Mailing Address
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Address Line | 135 NEWBROOK LN
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City | BAY SHORE
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State | NY
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Zip | 11706-4400
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Country | US
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Telephone | 954-736-7214
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9107971
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | 025858-01
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License Number State | NY
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