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General NPI Number Information
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NPI Number | 1679099477
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Entity Type | Individual
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Provider Name | ALYSSA MUSA ALI PA
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Gender | Female
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 3001 PALM WAY STE D134
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City | AUSTIN
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State | TX
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Zip | 78758-7963
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Country | US
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Telephone | 888-663-6331
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 1 EMBARCADERO CTR STE 1900
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-3723
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Country | US
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Telephone | 888-663-6331
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Fax | 415-272-7176
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA11638
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License Number State | TX
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