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General NPI Number Information
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NPI Number | 1114737863
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Entity Type | Individual
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Provider Name | SALMA ZAHRAN
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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 | 01/13/2025
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Provider Practice Location Address
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Address Line | 4141 CENTRAL AVE NE STE 103
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-3601
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Country | US
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Telephone | 763-245-6180
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Fax | 612-314-8983
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Provider Business Mailing Address
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Address Line | 4141 CENTRAL AVE NE STE 103
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-3601
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Country | US
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Telephone | 763-245-6180
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Fax | 612-314-8983
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number | N21213200
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License Number State | MN
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