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NPI 1629136544

NPI 1629136544 : GALAL SALEM MD INC : BELL GARDENS, CA

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General NPI Number Information
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    NPI Number           |    1629136544
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    Entity Type          |    Organization 
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    Legal Business Name  |    GALAL SALEM MD INC 
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Dates
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    Enumeration Date     |    12/04/2006
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    Last Update Date     |    12/22/2008
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Provider Practice Location Address
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    Address Line         |    5985 FLORENCE AVE #N
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    City                 |    BELL GARDENS
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    State                |    CA
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    Zip                  |    90201
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    Country              |    US
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    Telephone            |    323-562-2900
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    Fax                  |    323-773-1874
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Provider Business Mailing Address
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    Address Line         |    5985 FLORENCE AVE #N
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    City                 |    BELL GARDENS
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    State                |    CA
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    Zip                  |    90201
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    Country              |    US
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    Telephone            |    323-562-2900
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    Fax                  |    323-773-1874
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    DR. GALAL N SALEM 
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    Credential           |    MD
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    Telephone            |    323-562-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    A66970
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    License Number State |    CA
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