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General NPI Number Information
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NPI Number | 1861036568
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Entity Type | Individual
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Provider Name | ILHAN DAYIB ALI CERTIFIED NURSE ASST
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Gender | Female
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 11/05/2019
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Provider Practice Location Address
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Address Line | 10344 14TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98168-1689
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Country | US
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Telephone | 206-245-1086
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Fax |
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Provider Business Mailing Address
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Address Line | 17220 30TH AVE S APT G1
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City | SEATAC
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State | WA
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Zip | 98188-3508
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Country | US
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Telephone | 425-523-5439
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | NC60486017
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License Number State | WA
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