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General NPI Number Information
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NPI Number | 1609718410
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Entity Type | Individual
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Provider Name | ALI HASAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 901 HARRY S TRUMAN DR N
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City | LARGO
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State | MD
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Zip | 20774-5477
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Country | US
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Telephone | 240-677-0021
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Fax | 240-677-0028
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Provider Business Mailing Address
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Address Line | 2806 CONRAD DR
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City | COLUMBUS
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State | OH
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Zip | 43207-3500
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Country | US
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Telephone | 614-929-8666
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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 | MD
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