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General NPI Number Information
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NPI Number | 1114241296
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Entity Type | Individual
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Provider Name | SAYYIDA SHAKOOR ABDUS-SALAAM M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 500 KING DR SUITE 808
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City | DALY CITY
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State | CA
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Zip | 94015-2922
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Country | US
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Telephone | 937-304-3877
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Fax |
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Provider Business Mailing Address
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Address Line | 500 KING DR SUITE 808
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City | DALY CITY
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State | CA
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Zip | 94015-2922
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Country | US
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Telephone | 937-304-3877
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Fax |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD035946
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD035946
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License Number State | DC
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