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General NPI Number Information
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NPI Number | 1629193503
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Entity Type | Organization
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Legal Business Name | VALLEY OBSTETRICS AND GYNECOLOGY, PC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 09/05/2007
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Provider Practice Location Address
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Address Line | 1 WEBSTER AVE STE 300
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-1362
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Country | US
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Telephone | 845-483-5893
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Fax | 845-471-4381
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Provider Business Mailing Address
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Address Line | 1 WEBSTER AVE STE 300
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-1362
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Country | US
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Telephone | 845-483-5893
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Fax | 845-471-4381
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AZZAM M. SALEM
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Credential | M.D.
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Telephone | 845-483-5893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 161168
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 138741
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 141726
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 159629
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License Number State | NY
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