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General NPI Number Information
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NPI Number | 1023828894
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Entity Type | Individual
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Provider Name | EMEN SALAM PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 8201 E RIVERSIDE BLVD STE 1022
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City | ROCKFORD
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State | IL
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Zip | 61114-2300
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Country | US
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Telephone | 815-971-5353
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Fax | 815-971-9948
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Provider Business Mailing Address
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Address Line | 8201 E RIVERSIDE BLVD STE 1022
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City | ROCKFORD
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State | IL
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Zip | 61114-2300
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Country | US
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Telephone | 815-971-5353
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Fax | 815-971-9948
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 051305834
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License Number State | IL
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