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General NPI Number Information
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NPI Number | 1487050324
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Entity Type | Organization
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Legal Business Name | ZEESHAN SALAM DDS PLLC
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 40 FRANKLIN ST STE III
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City | CARTHAGE
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State | NY
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Zip | 13619-1377
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Country | US
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Telephone | 315-493-1581
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Fax |
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Provider Business Mailing Address
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Address Line | 40 FRANKLIN ST STE III
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City | CARTHAGE
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State | NY
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Zip | 13619-1377
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Country | US
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Telephone | 315-493-1581
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. ZEESHAN SALAM
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Credential | D.D.S
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Telephone | 315-493-1581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 053950
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License Number State | NY
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