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General NPI Number Information
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NPI Number | 1508779042
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Entity Type | Organization
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Legal Business Name | SALAM5
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 1725 EMMONS AVE APT B17
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City | BROOKLYN
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State | NY
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Zip | 11235-2732
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Country | US
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Telephone | 347-818-1055
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 EMMONS AVE APT B17
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City | BROOKLYN
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State | NY
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Zip | 11235-2732
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Country | US
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Telephone | 347-818-1055
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Fax |
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Authorized Official
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Title or Position | ABA/SI
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Name | MS. SALOMAT TADJIYEVA
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Credential | MSED
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Telephone | 347-818-1055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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