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General NPI Number Information
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NPI Number | 1285909481
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Entity Type | Individual
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Provider Name | AHMAD MUHAMMAD SALAH D.O
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Gender | Male
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Dates
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Enumeration Date | 03/21/2012
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 118 E 90TH DR
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7160
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Country | US
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Telephone | 219-736-2922
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Fax | 855-820-7118
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Provider Business Mailing Address
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Address Line | 9331 S THOMAS AVE
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City | BRIDGEVIEW
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State | IL
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Zip | 60455-2163
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Country | US
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Telephone | 708-818-7550
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Fax | 855-820-7118
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036.136451
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 036.136451
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 02005095A
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License Number State | IN
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