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NPI 1124682158

NPI 1124682158 : ALI RAIED SALMAN : ALEXANDRIA, VA

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General NPI Number Information
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    NPI Number           |    1124682158
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    Entity Type          |    Individual 
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    Provider Name        |    ALI RAIED SALMAN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/25/2019
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    Last Update Date     |    09/02/2025
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Provider Practice Location Address
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    Address Line         |    6354 WALKER LN STE 100 
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    City                 |    ALEXANDRIA
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    State                |    VA
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    Zip                  |    22310-3242
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    Country              |    US
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    Telephone            |    703-313-8822
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    Fax                  |    703-313-9422
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Provider Business Mailing Address
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    Address Line         |    420 MOUNTAIN AVE FL 4 
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    City                 |    NEW PROVIDENCE
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    State                |    NJ
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    Zip                  |    07974-2736
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    Country              |    US
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    Telephone            |    908-458-8333
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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        |    207WX0107X
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    Taxonomy Name        |    Retina Specialist (Ophthalmology) Physician
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    License Number       |    D0103123
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    0101285540
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    License Number State |    VA
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Taxonomy #3
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    MD600003650
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    License Number State |    DC
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Taxonomy #4
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    D0103123
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    License Number State |    MD
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