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General NPI Number Information
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NPI Number | 1952786071
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Entity Type | Organization
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Legal Business Name | ALI VISION CARE PLLC
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 7300 RANCH ROAD 2222 STE 112
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City | AUSTIN
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State | TX
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Zip | 78730-3204
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Country | US
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Telephone | 512-893-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 7300 RANCH ROAD 2222 STE 112
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City | AUSTIN
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State | TX
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Zip | 78730-3204
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Country | US
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Telephone | 512-893-2020
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAZEEN ALI
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Credential | OD
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Telephone | 512-893-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8151
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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