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General NPI Number Information
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NPI Number | 1528349016
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Entity Type | Organization
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Legal Business Name | SAMY SALAMA MD INC PS
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Dates
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Enumeration Date | 08/29/2011
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Last Update Date | 08/29/2011
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Provider Practice Location Address
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Address Line | 1370 116TH AVE NE SUITE 209
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City | BELLEVUE
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State | WA
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Zip | 98004-3825
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Country | US
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Telephone | 425-455-4900
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Fax | 425-455-4970
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Provider Business Mailing Address
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Address Line | 1370 116TH AVE NE SUITE 209
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City | BELLEVUE
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State | WA
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Zip | 98004-3825
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Country | US
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Telephone | 425-455-4900
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Fax | 425-455-4970
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Authorized Official
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Title or Position | OWNER
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Name | SAMY M SALAMA
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Credential | MD
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Telephone | 425-455-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD00014681
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License Number State | WA
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