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General NPI Number Information
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NPI Number | 1124375043
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Entity Type | Organization
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Legal Business Name | AREEJ SALEM, LLC
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 09/05/2013
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Provider Practice Location Address
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Address Line | 2250 ASHLEY OAKS CIR SUITE 102
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6433
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Country | US
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Telephone | 813-994-0266
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Fax |
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Provider Business Mailing Address
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Address Line | 12213 BRIGHTWATER BLVD
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-1708
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Country | US
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Telephone | 302-353-9600
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AREEJ SALEM
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Credential | MD
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Telephone | 302-353-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME108165
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License Number State | FL
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