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General NPI Number Information
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NPI Number | 1861555138
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Entity Type | Organization
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Legal Business Name | YASSER SALEM MD PROFESSIONAL CORP
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 09/28/2024
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Provider Practice Location Address
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Address Line | 8101 NEWMAN AVE STE D
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-7042
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Country | US
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Telephone | 714-545-5200
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Fax | 714-375-7933
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Provider Business Mailing Address
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Address Line | PO BOX 2393
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City | ORANGE
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State | CA
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Zip | 92859-0393
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Country | US
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Telephone | 714-545-5200
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Fax | 714-375-7933
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Authorized Official
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Title or Position | PRESIDENT
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Name | YASSER H SALEM
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Credential | MD
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Telephone | 714-545-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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