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General NPI Number Information
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NPI Number | 1033226303
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Entity Type | Individual
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Provider Name | YASSER S SALEM MD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 1281 MARINETTE AVE
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City | MARINETTE
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State | WI
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Zip | 54143-2018
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Country | US
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Telephone | 715-330-7090
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Fax | 715-732-0828
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Provider Business Mailing Address
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Address Line | 1281 MARINETTE AVE
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City | MARINETTE
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State | WI
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Zip | 54143-2018
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Country | US
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Telephone | 715-330-7090
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Fax | 715-732-0828
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036-104820
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 01076879A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 01076879A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 47840
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License Number State | WI
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