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General NPI Number Information
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NPI Number | 1639295702
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Entity Type | Individual
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Provider Name | NADIM SULAIMAN ALI LPC
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Gender | Male
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 1156 EGGLESTON ST SW
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City | ATLANTA
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State | GA
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Zip | 30310-1704
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Country | US
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Telephone | 678-820-9053
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Fax | 404-393-9973
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Provider Business Mailing Address
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Address Line | P.O. BOX 115403
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City | ATLANTA
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State | GA
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Zip | 30310-1704
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Country | US
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Telephone | 678-820-9053
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Fax | 404-393-9973
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 03775
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License Number State | GA
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