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General NPI Number Information
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NPI Number | 1134386592
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Entity Type | Individual
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Provider Name | SHARIF ASHANTI ABDUS-SALAAM MD
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Gender | Male
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 3100 N LEE TREVINO DR STE B
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City | EL PASO
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State | TX
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Zip | 79936-2116
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Country | US
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Telephone | 915-533-7465
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Fax | 915-534-1185
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Provider Business Mailing Address
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Address Line | 1264 WESLEY DR STE 302
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City | MEMPHIS
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State | TN
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Zip | 38116-6445
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Country | US
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Telephone | 901-260-2072
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Fax | 901-260-2077
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 45803
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 21698
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | W0354
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A108853
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License Number State | CA
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