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General NPI Number Information
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NPI Number | 1396265971
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Entity Type | Individual
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Provider Name | MOHAMED HASSAN SALAH MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2017
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 12741 MIRAMAR PKWY STE 302
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City | MIRAMAR
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State | FL
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Zip | 33027-2905
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Country | US
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Telephone | 954-602-9723
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Fax |
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Provider Business Mailing Address
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Address Line | 2725 SW 187TH AVE
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City | MIRAMAR
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State | FL
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Zip | 33029-2441
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Country | US
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Telephone | 856-366-5949
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 125.071410
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036.153742
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA11180600
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME149878
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License Number State | FL
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