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General NPI Number Information
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NPI Number | 1700262441
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Entity Type | Individual
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Provider Name | MRS. MARIAM ZEHRA ALI
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Gender | Female
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 212 HOMER AVE
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City | PALO ALTO
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State | CA
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Zip | 94301-2722
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Country | US
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Telephone | 650-209-0197
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Fax |
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Provider Business Mailing Address
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Address Line | 700 RATTAN CT
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City | FREMONT
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State | CA
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Zip | 94539-7728
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Country | US
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Telephone | 408-710-4613
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 152315
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License Number State | CA
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