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General NPI Number Information
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NPI Number | 1366681512
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Entity Type | Organization
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Legal Business Name | NIKHAT SALAMAT PULMONARY ASSOCIATES LLC
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 727 CRAIG RD SUITE 101
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City | CREVE COEUR
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State | MO
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Zip | 63141-7175
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Country | US
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Telephone | 314-660-3191
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Fax | 314-835-9218
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Provider Business Mailing Address
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Address Line | 727 CRAIG RD SUITE 101
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City | CREVE COEUR
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State | MO
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Zip | 63141-7175
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Country | US
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Telephone | 314-660-3191
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Fax | 314-835-9218
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MARI F WARD
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Credential | RN
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Telephone | 314-660-3191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 2004035776
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 2004035776
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 2004035776
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License Number State | MO
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