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General NPI Number Information
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NPI Number | 1487625661
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Entity Type | Individual
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Provider Name | MAHOMED Y SALAME M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 1031 QUINTARD AVE STE 1A
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City | ANNISTON
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State | AL
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Zip | 36201-5714
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Country | US
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Telephone | 256-231-2552
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Fax | 256-231-2550
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Provider Business Mailing Address
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Address Line | 901 LEIGHTON AVE SUITE 702
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City | ANNISTON
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State | AL
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Zip | 36207-5700
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Country | US
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Telephone | 256-231-2552
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 25751
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25751
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License Number State | AL
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