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General NPI Number Information
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NPI Number | 1861693202
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Entity Type | Organization
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Legal Business Name | ALI SULEIMAN MD INC
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 242 GEORGE ST
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City | BECKLEY
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State | WV
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Zip | 25801-2641
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Country | US
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Telephone | 304-255-7878
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Fax | 304-256-0060
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Provider Business Mailing Address
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Address Line | 200 E BUNTING LN
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City | BECKLEY
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State | WV
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Zip | 25801-3678
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Country | US
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Telephone | 304-255-7878
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Fax | 304-256-0060
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | GHADA A SULEIMAN
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Credential |
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Telephone | 304-255-7878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 16913
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License Number State | WV
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