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General NPI Number Information
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NPI Number | 1316478498
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Entity Type | Individual
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Provider Name | JAMAL ZOUHEIR SALEH MD
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Gender | Male
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 07/15/2021
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Provider Practice Location Address
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Address Line | 12462 PUTNAM ST STE 501
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City | WHITTIER
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State | CA
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Zip | 90602-1049
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Country | US
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Telephone | 562-789-5429
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Fax | 562-789-4441
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Provider Business Mailing Address
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Address Line | 12462 PUTNAM ST STE 501
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City | WHITTIER
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State | CA
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Zip | 90602-1049
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Country | US
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Telephone | 562-789-5429
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Fax | 562-789-4441
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A166509
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License Number State | CA
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