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General NPI Number Information
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NPI Number | 1912084617
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Entity Type | Individual
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Provider Name | AYSEL ATLI MD
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 01/15/2022
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Provider Practice Location Address
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Address Line | 8300 HEALTH PARK STE 109
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City | RALEIGH
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State | NC
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Zip | 27615
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Country | US
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Telephone | 612-999-7759
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 HEALTH PARK STE 109
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City | RALEIGH
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State | NC
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Zip | 27615-4731
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Country | US
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Telephone | 919-322-2064
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 2010-01166
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 2010-01166
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 2010-01166
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License Number State | NC
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