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General NPI Number Information
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NPI Number | 1639518897
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Entity Type | Individual
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Provider Name | ALI AHMED MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2013
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 846 CALLISTA CAY LOOP
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-0003
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Country | US
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Telephone | 419-356-0566
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Fax |
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Provider Business Mailing Address
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Address Line | 846 CALLISTA CAY LOOP
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-0003
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Country | US
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Telephone |
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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 | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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License Number | ME134590
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME134590
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License Number State | FL
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