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General NPI Number Information
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NPI Number | 1689555344
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Entity Type | Individual
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Provider Name | NADA ALI
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Gender | Female
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 4050 HEALTHWAY DR STE 110
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City | AURORA
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State | IL
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Zip | 60504-8184
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Country | US
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Telephone | 630-888-1443
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Fax |
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Provider Business Mailing Address
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Address Line | 432 GREENBRIAR DR
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City | GLENDALE HTS
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State | IL
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Zip | 60139-4506
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | A40062003747
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License Number State | IL
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