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General NPI Number Information
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NPI Number | 1770028284
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Entity Type | Organization
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Legal Business Name | SALIM A JAFFER MD PC
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Dates
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Enumeration Date | 12/20/2016
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Last Update Date | 12/20/2016
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Provider Practice Location Address
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Address Line | 4136 LEGACY PKWY SUITE 100
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City | LANSING
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State | MI
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Zip | 48911-4265
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Country | US
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Telephone | 517-999-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 4136 LEGACY PKWY SUITE 100
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City | LANSING
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State | MI
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Zip | 48911-4265
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Country | US
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Telephone | 517-999-5300
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SALIM JAFFER
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Credential | M.D.
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Telephone | 517-999-5300
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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 | 4301062463
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License Number State | MI
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