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General NPI Number Information
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NPI Number | 1619668530
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Entity Type | Organization
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Legal Business Name | AL MARADNI PLLC
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Dates
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Enumeration Date | 05/19/2023
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 3400 E SOUTHERN AVE APT 282
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City | PHOENIX
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State | AZ
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Zip | 85040-3894
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Country | US
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Telephone | 602-839-2792
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 E SOUTHERN AVE APT 282
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City | PHOENIX
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State | AZ
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Zip | 85040-3894
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Country | US
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Telephone | 602-839-2792
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | AHMAD AL MARADNI
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Credential | MD
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Telephone | 314-540-4655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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