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Contact Information

MARIAM I ALI
6064 SOUTHPOINTE DR
BURLINGTON, KY41005-8528
 Phone: 619-822-5621
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Taxi

344600000X
Indicates primary specialty

NPI Profile & details for

NPI # 1164088282
Entity Organization
Organization subpart 1 Not specified
Enumeration date 05/14/2019
Last updated 05/14/2019 - About 7 years ago
Identifiers
KY License # 4720
KY Medicaid 7100592580
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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