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General NPI Number Information
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NPI Number | 1689496721
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Entity Type | Organization
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Legal Business Name | SALAMAT CLINIC
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 6 N MISSISSIPPI AVE
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City | ATLANTIC CITY
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State | NJ
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Zip | 08401-4013
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Country | US
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Telephone | 609-674-4247
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Fax |
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Provider Business Mailing Address
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Address Line | 6 N MISSISSIPPI AVE
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City | ATLANTIC CITY
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State | NJ
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Zip | 08401-4013
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. ABDULLAH PANAH
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Credential | DO
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Telephone | 609-674-4247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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