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General NPI Number Information
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NPI Number | 1114950631
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Entity Type | Individual
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Provider Name | SALWA ELSAMANOUDI M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2629 RIVA RD SUITE 112
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7428
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Country | US
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Telephone | 410-266-1000
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Fax | 410-573-4028
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Provider Business Mailing Address
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Address Line | 14701 HARVEST LN
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City | SILVER SPRING
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State | MD
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Zip | 20905-5642
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Country | US
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Telephone | 301-384-9521
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0032499
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License Number State | MD
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