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General NPI Number Information
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NPI Number | 1649442591
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Entity Type | Organization
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Legal Business Name | SALAH E. REYAD MD PC
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 04/24/2009
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Provider Practice Location Address
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Address Line | 101 ACCESS RD
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City | NORWOOD
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State | MA
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Zip | 02062-5211
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Country | US
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Telephone | 781-762-6944
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Fax | 781-762-6189
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Provider Business Mailing Address
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Address Line | 101 ACCESS RD
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City | NORWOOD
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State | MA
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Zip | 02062-5211
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Country | US
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Telephone | 781-762-6944
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Fax | 781-762-6189
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SALAH REYAD
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Credential | MD
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Telephone | 781-762-6944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 78407
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License Number State | MA
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