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General NPI Number Information
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NPI Number | 1811975089
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Entity Type | Individual
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Provider Name | KHALEEL SALAHUDEEN MD
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Gender | Male
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 01/20/2010
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Provider Practice Location Address
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Address Line | 18731 N. REEMS RD #680
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City | SURPRISE
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State | AZ
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Zip | 85374
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Country | US
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Telephone | 623-975-0592
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Fax | 623-975-0750
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Provider Business Mailing Address
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Address Line | 13464 N. 93RD AVE #100
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City | PEORIA
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State | AZ
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Zip | 85381
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Country | US
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Telephone | 623-933-0301
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Fax | 623-933-0224
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 34909
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License Number State | AZ
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