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General NPI Number Information
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NPI Number | 1437234440
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Entity Type | Individual
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Provider Name | SAMEEH ZALLOUM M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 6520 N PRESIDENT GEORGE BUSH HWY
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City | GARLAND
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State | TX
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Zip | 75044
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Country | US
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Telephone | 972-971-4223
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Fax |
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Provider Business Mailing Address
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Address Line | 14100 SAN PEDRO AVE STE 412
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City | SAN ANTONIO
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State | TX
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Zip | 78232-2009
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Country | US
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Telephone | 210-543-7334
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Fax | 210-314-5044
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K7126
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | K7126
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | K7126
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K7126
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License Number State | TX
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