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General NPI Number Information
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NPI Number | 1801026752
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Entity Type | Individual
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Provider Name | AHMED MOHAMED SALAMA MD
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Gender | Male
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 18101 OAKWOOD BLVD
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City | DEARBORN
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State | MI
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Zip | 48124-4089
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Country | US
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Telephone | 313-982-5819
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Fax |
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Provider Business Mailing Address
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Address Line | 15500 LUNDY PKWY
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City | DEARBORN
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State | MI
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Zip | 48126-2778
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Country | US
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Telephone | 313-586-5011
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Fax | 313-792-7134
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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 | 207PT0002X
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Taxonomy Name | Medical Toxicology (Emergency Medicine) Physician
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License Number | 193697
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301097021
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License Number State | MI
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