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General NPI Number Information
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NPI Number | 1518368497
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Entity Type | Organization
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Legal Business Name | OMAR SALEEM MD PC
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 09/10/2014
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Provider Practice Location Address
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Address Line | 2201 HEMPSTEAD TPKE NUMC
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City | EAST MEADOW
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State | NY
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Zip | 11554-1859
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Country | US
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Telephone | 516-572-0123
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 270
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City | MASSAPEQUA PARK
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State | NY
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Zip | 11762-0270
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Country | US
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Telephone | 631-264-2035
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Fax | 631-264-1418
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Authorized Official
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Title or Position | OWNER
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Name | OMAR SALEEM
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Credential | M.D.
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Telephone | 516-603-3872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 262068
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License Number State | NY
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