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NPI 1356204994

NPI 1356204994 : MR. ABDUL RASHEED ABDUL SALAM : ELMWOOD PARK, NJ

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General NPI Number Information
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    NPI Number           |    1356204994
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    Entity Type          |    Individual 
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    Provider Name        |    MR. ABDUL RASHEED ABDUL SALAM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/09/2025
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    125 PHILIP AVE 
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    City                 |    ELMWOOD PARK
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    State                |    NJ
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    Zip                  |    07407-2136
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    Country              |    US
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    Telephone            |    646-546-6379
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    125 PHILIP AVE 
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    City                 |    ELMWOOD PARK
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    State                |    NJ
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    Zip                  |    07407-2136
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    Country              |    US
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    Telephone            |    646-546-6379
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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        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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