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General NPI Number Information
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NPI Number | 1861049405
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Entity Type | Organization
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Legal Business Name | SALAMA MD LLC
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Dates
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Enumeration Date | 08/19/2019
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Last Update Date | 08/19/2019
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Provider Practice Location Address
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Address Line | 5325 FOX RIDGE RD
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City | ROANOKE
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State | VA
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Zip | 24018-8755
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Country | US
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Telephone | 540-353-5311
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Fax | 201-228-9980
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Provider Business Mailing Address
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Address Line | 5325 FOX RIDGE RD
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City | ROANOKE
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State | VA
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Zip | 24018-8755
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Country | US
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Telephone | 540-353-5311
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Fax | 201-228-9980
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Authorized Official
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Title or Position | PRESIDENT
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Name | ADEL M SALAMA
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Credential | M.D.
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Telephone | 540-353-5311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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