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General NPI Number Information
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NPI Number | 1033671979
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Entity Type | Organization
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Legal Business Name | PALOMA SALAM OD P.C.
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 07/11/2019
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Provider Practice Location Address
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Address Line | 9 GLEASON RD
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City | SCHENECTADY
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State | NY
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Zip | 12302-5307
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Country | US
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Telephone | 518-399-6368
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Fax | 518-399-6372
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Provider Business Mailing Address
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Address Line | 9 GLEASON RD
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City | SCHENECTADY
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State | NY
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Zip | 12302-5307
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Country | US
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Telephone | 917-604-0219
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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. PALOMA SALAM
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Credential | OD
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Telephone | 518-399-6368
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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 |
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License Number State |
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