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General NPI Number Information
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NPI Number | 1578432589
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Entity Type | Organization
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Legal Business Name | SALAH NURSE PRACTITIONER IN PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 47 SMALLWOOD DR
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City | WEST SENECA
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State | NY
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Zip | 14224-2719
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Country | US
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Telephone | 716-427-4803
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Fax |
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Provider Business Mailing Address
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Address Line | 47 SMALLWOOD DR
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City | WEST SENECA
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State | NY
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Zip | 14224-2719
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Country | US
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Telephone | 716-427-4803
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | MANAR SALAH
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Credential | PMHNP
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Telephone | 716-541-7444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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