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General NPI Number Information
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NPI Number | 1790102804
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Entity Type | Individual
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Provider Name | ABDUL SALMAN MOHAMMED MBBS, MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 836 W WELLINGTON AVE
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City | CHICAGO
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State | IL
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Zip | 60657-5147
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Country | US
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Telephone | 773-296-5424
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Fax | 773-296-5265
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Provider Business Mailing Address
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Address Line | 3444 CUYLER AVE APT 2
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City | BERWYN
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State | IL
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Zip | 60402-5436
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Country | US
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Telephone | 267-328-8907
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 036149245
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License Number State | IL
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