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General NPI Number Information
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NPI Number | 1710061197
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Entity Type | Organization
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Legal Business Name | GUERRERO & SALIB MD PA
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 01/07/2015
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Provider Practice Location Address
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Address Line | 500 N WASHINGTON AVE STE 206
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City | TITUSVILLE
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State | FL
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Zip | 32796-2759
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Country | US
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Telephone | 321-267-6796
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Fax | 321-269-0947
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Provider Business Mailing Address
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Address Line | 500 N WASHINGTON AVE STE 206
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City | TITUSVILLE
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State | FL
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Zip | 32796-2759
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Country | US
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Telephone | 321-267-6796
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Fax | 321-269-0947
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAMI SALIB
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Credential | MD
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Telephone | 321-267-6796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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