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General NPI Number Information
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NPI Number | 1306077557
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Entity Type | Individual
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Provider Name | SALMAN AYUB M.D
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Gender | Male
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 4770 REGENT BLVD
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City | IRVING
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State | TX
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Zip | 75063-2445
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Country | US
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Telephone | 972-934-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 14275 MIDWAY RD STE 400
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City | ADDISON
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State | TX
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Zip | 75001-3661
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Country | US
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Telephone |
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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 | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | 35099283
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 35099283
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License Number State | OH
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