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General NPI Number Information
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NPI Number | 1760888747
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Entity Type | Organization
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Legal Business Name | AHMED ABASSET ALI MD PA INC
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 2301 SPRINGHILL RD STE 110
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City | BRYANT
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State | AR
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Zip | 72019-7573
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Country | US
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Telephone | 501-209-4040
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 SPRINGHILL RD STE 110
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City | BRYANT
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State | AR
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Zip | 72019-7573
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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 | OWNER
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Name | DR. AHMED ALI
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Credential | M.D.
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Telephone | 501-209-4040
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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 | E-7341
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License Number State | AR
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