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General NPI Number Information
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NPI Number | 1619707643
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Entity Type | Organization
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Legal Business Name | RAIMON SALIM OD PLLC
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Dates
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Enumeration Date | 08/05/2024
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 2005 15 MILE RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-4864
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Country | US
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Telephone | 248-369-3322
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 15 MILE RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-4864
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Country | US
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Telephone | 248-369-3322
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAIMON SALIM
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Credential | OD
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Telephone | 248-369-3322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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