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General NPI Number Information
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NPI Number | 1194228395
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Entity Type | Individual
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Provider Name | SYED SALEEM
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Gender | Male
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 03/14/2018
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Provider Practice Location Address
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Address Line | 801 ROAD TO SIX FLAGS W STE 122
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City | ARLINGTON
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State | TX
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Zip | 76012-2615
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Country | US
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Telephone | 682-276-6502
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Fax | 817-549-8534
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Provider Business Mailing Address
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Address Line | 2059 SWENSON CT
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-8864
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Country | US
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Telephone | 405-410-8244
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 44137
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License Number State | TX
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