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General NPI Number Information
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NPI Number | 1922638469
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Entity Type | Individual
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Provider Name | BILQUIS ALI RN
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Gender | Female
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 353 W JOHNSON HWY
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City | EAST NORRITON
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State | PA
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Zip | 19401-1992
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Country | US
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Telephone | 610-234-6115
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Fax |
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Provider Business Mailing Address
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Address Line | 777 W GERMANTOWN PIKE APT 1014
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1023
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Country | US
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Telephone | 215-266-5872
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 46643601
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License Number State | PA
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