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General NPI Number Information
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NPI Number | 1669697629
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Entity Type | Individual
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Provider Name | SALAM YANEK M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 04/29/2019
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Provider Practice Location Address
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Address Line | 800 S WASHINGTON AVE
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City | SAGINAW
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State | MI
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Zip | 48601-2551
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Country | US
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Telephone | 989-907-8115
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Fax |
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Provider Business Mailing Address
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Address Line | 4184 RAVENWOOD CT
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City | TROY
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State | MI
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Zip | 48098-5904
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Country | US
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Telephone | 248-275-1968
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Fax |
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 4301073306
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License Number State | MI
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