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General NPI Number Information
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NPI Number | 1407800766
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Entity Type | Individual
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Provider Name | MOHAMED OMAR SALEH MD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 1408 S JONES BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89146-3137
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Country | US
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Telephone | 702-202-0099
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Fax | 904-346-0887
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Provider Business Mailing Address
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Address Line | 1408 S JONES BLVD
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City | LAS VEGAS
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State | NV
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Zip | 84146-3137
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Country | US
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Telephone | 702-202-0099
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Fax | 904-346-0887
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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 | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 11784
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 11784
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 11784
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License Number State | NV
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