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General NPI Number Information
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NPI Number | 1255774477
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Entity Type | Individual
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Provider Name | NOUR KHALID ABU SALEH M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/08/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2915 BETIN AVE
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City | MONROE
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State | LA
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Zip | 71201-7257
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Country | US
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Telephone | 318-651-9945
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Fax | 318-322-5141
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Provider Business Mailing Address
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Address Line | 2913 BETIN AVE
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City | MONROE
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State | LA
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Zip | 71201-7257
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Country | US
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Telephone | 318-388-1250
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Fax | 318-388-0948
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 304973
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License Number State | LA
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