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General NPI Number Information
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NPI Number | 1265669360
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Entity Type | Organization
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Legal Business Name | SALEEM A. WARAICH, M.D., A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 12/29/2011
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Provider Practice Location Address
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Address Line | 1275 N ROSE DR SUITE 110
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City | PLACENTIA
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State | CA
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Zip | 92870-3941
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Country | US
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Telephone | 562-556-5389
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Fax | 714-203-1723
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Provider Business Mailing Address
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Address Line | 1275 N ROSE DR SUITE 110
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City | PLACENTIA
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State | CA
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Zip | 92870-3941
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Country | US
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Telephone | 562-556-5389
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Fax | 714-203-1723
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SALEEM AHMED WARAICH
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Credential | M.D.
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Telephone | 562-556-5389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A93667
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License Number State | CA
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