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General NPI Number Information
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NPI Number | 1659711356
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Entity Type | Individual
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Provider Name | GEORGE SALEM MD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2013
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 825 NE 10TH ST STE 4E
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5417
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Country | US
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Telephone | 405-271-8478
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Fax | 405-271-4230
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Provider Business Mailing Address
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Address Line | 105 S BRYANT AVE STE 210
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City | EDMOND
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State | OK
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Zip | 73034-6331
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Country | US
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Telephone | 405-359-5229
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Fax | 405-896-4309
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 29940
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 29940
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License Number State | OK
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