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General NPI Number Information
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NPI Number | 1669915682
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Entity Type | Individual
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Provider Name | ALI AHMED
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Gender | Male
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Dates
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Enumeration Date | 11/22/2016
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 2201 TREMONT ST APT E340
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City | PHILADELPHIA
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State | PA
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Zip | 19115-5090
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Country | US
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Telephone | 215-961-7052
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Fax |
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Provider Business Mailing Address
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Address Line | 501 CAMBRIA AVE
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City | BENSALEM
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State | PA
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Zip | 19020-7213
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Country | US
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Telephone | 215-720-4640
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BH000677
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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