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General NPI Number Information
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NPI Number | 1871696096
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Entity Type | Individual
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Provider Name | MOHAMMAD FAROOQ ALI M.D
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Gender | Male
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 242 INDIAN LAKE BLVD SUITE 100
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-6213
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Country | US
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Telephone | 615-822-5660
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Fax | 615-822-5611
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Provider Business Mailing Address
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Address Line | 242 INDIAN LAKE BLVD STE 100
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-6205
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Country | US
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Telephone | 615-822-5660
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Fax | 615-822-5611
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 41422
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License Number State | TN
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