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General NPI Number Information
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NPI Number | 1679770705
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Entity Type | Organization
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Legal Business Name | ALI M DOHAN MD INC
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 1250 E COUNTY LINE RD SUITE 8
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-0989
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Country | US
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Telephone | 317-602-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 E COUNTY LINE RD SUITE 8
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-0989
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Country | US
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Telephone | 317-602-1400
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ZAHRA DOHAN
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Credential |
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Telephone | 317-887-7675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | IN
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