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General NPI Number Information
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NPI Number | 1750635801
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Entity Type | Individual
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Provider Name | INSAF ALLY M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/27/2012
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 2180 MAIN ST
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City | WAILUKU
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State | HI
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Zip | 96793-1625
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Country | US
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Telephone | 808-242-6464
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Fax |
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Provider Business Mailing Address
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Address Line | 2180 MAIN ST
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City | WAILUKU
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State | HI
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Zip | 96793-1625
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Country | US
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Telephone | 808-242-6464
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD-20897
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 052542
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License Number State | CT
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Taxonomy #3
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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 |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M-1868
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License Number State | GU
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