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General NPI Number Information
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NPI Number | 1760684013
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Entity Type | Individual
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Provider Name | ALI ESMAILI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 665 DEL PRADO BLVD S
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City | CAPE CORAL
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State | FL
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Zip | 33990-2666
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Country | US
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Telephone | 239-424-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 10 GLENLAKE PKWY STE 900
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City | ATLANTA
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State | GA
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Zip | 30328-7249
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Country | US
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Telephone | 404-888-7575
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Fax | 404-253-6896
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 01071300A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 078297
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036.126079
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License Number State | IL
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