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General NPI Number Information
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NPI Number | 1730731902
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Entity Type | Individual
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Provider Name | ALI ISMAIL MBBS
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Gender | Male
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Dates
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Enumeration Date | 07/09/2019
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 200 1ST ST SW
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City | ROCHESTER
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State | MN
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Zip | 55905-0001
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Country | US
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Telephone | 507-284-2511
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Fax |
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Provider Business Mailing Address
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Address Line | 4820 ALPHA PKWY NW APT 327
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City | ROCHESTER
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State | MN
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Zip | 55901-3325
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Country | US
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Telephone | 502-938-8039
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 0000000
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 782449
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 73511
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License Number State | MN
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