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General NPI Number Information
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NPI Number | 1578608220
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Entity Type | Individual
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Provider Name | SALMAN M MUDDASSIR M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 9030 W FORT ISLAND TRL STE 1
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-8011
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Country | US
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Telephone | 352-228-8906
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Fax | 352-228-8905
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Provider Business Mailing Address
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Address Line | 14690 SPRING HILL DR STE 305
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City | SPRING HILL
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State | FL
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Zip | 34609-8102
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Country | US
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Telephone | 352-277-5348
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Fax | 352-606-2857
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA08169300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME122573
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME122573
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License Number State | FL
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