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General NPI Number Information
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NPI Number | 1689430456
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Entity Type | Individual
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Provider Name | MOHAMMED HASSAN SALEH
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Gender | Male
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 30182 SUSSEX HWY UNIT 1
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City | LAUREL
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State | DE
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Zip | 19956-3884
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Country | US
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Telephone | 302-875-8560
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Fax |
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Provider Business Mailing Address
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Address Line | 12450 INDEPENDENCE CT APT A7
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City | PRINCESS ANNE
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State | MD
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Zip | 21853-3022
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Country | US
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Telephone | 443-735-5914
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | A1-0016013
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License Number State | DE
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