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General NPI Number Information
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NPI Number | 1811183296
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Entity Type | Organization
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Legal Business Name | SALEM NEUROSURGICAL ASSOCIATES
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 201 S BUENA VISTA ST SUITE 410
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City | BURBANK
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State | CA
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Zip | 91505-4569
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Country | US
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Telephone | 818-562-6400
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Fax | 818-562-6405
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Provider Business Mailing Address
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Address Line | 201 S BUENA VISTA ST SUITE 410
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City | BURBANK
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State | CA
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Zip | 91505-4569
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Country | US
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Telephone | 818-562-6400
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Fax | 885-626-4058
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Authorized Official
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Title or Position | CEO
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Name | DR. AYMEN M SALEM
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Credential | M.D.
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Telephone | 818-562-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A55276
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License Number State | CA
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