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General NPI Number Information
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NPI Number | 1609588474
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Entity Type | Organization
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Legal Business Name | RIAS ALI MD PLLC
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Dates
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Enumeration Date | 12/23/2022
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Last Update Date | 12/23/2022
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Provider Practice Location Address
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Address Line | 4740 MILE STRETCH DR
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City | HOLIDAY
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State | FL
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Zip | 34690-4331
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Country | US
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Telephone | 727-943-5200
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Fax | 727-943-5201
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Provider Business Mailing Address
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Address Line | PO BOX 3865
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City | HOLIDAY
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State | FL
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Zip | 34692-3865
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Country | US
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Telephone | 727-943-5200
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Fax | 727-943-5201
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Authorized Official
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Title or Position | OWNER
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Name | RIAS ALI
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Credential | M.D.
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Telephone | 727-943-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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