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General NPI Number Information
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NPI Number | 1093011942
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Entity Type | Organization
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Legal Business Name | GEORGE M. SALIB, M.D. INC.
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Dates
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Enumeration Date | 02/09/2011
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 24422 AVENIDA DE LA CARLOTA STE 110
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3634
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Country | US
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Telephone | 949-770-1322
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Fax | 949-770-0127
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Provider Business Mailing Address
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Address Line | 24422 AVENIDA DE LA CARLOTA STE 110
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3634
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Country | US
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Telephone | 949-770-1322
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Fax | 949-770-0127
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE M SALIB
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Credential | M.D.
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Telephone | 949-770-1322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A71222
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License Number State | CA
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