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NPI 1871976084

NPI 1871976084 : AMMAR HALLOUM SALLORA, MD, PLLC : HARLINGEN, TX

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General NPI Number Information
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    NPI Number           |    1871976084
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMMAR HALLOUM SALLORA, MD, PLLC 
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Dates
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    Enumeration Date     |    07/07/2015
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    Last Update Date     |    07/07/2015
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Provider Practice Location Address
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    Address Line         |    2706 PINEHURST DR 
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    City                 |    HARLINGEN
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    State                |    TX
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    Zip                  |    78550-8697
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    Country              |    US
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    Telephone            |    914-646-2344
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2706 PINEHURST DR 
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    City                 |    HARLINGEN
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    State                |    TX
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    Zip                  |    78550-8697
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    Country              |    US
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    Telephone            |    914-646-2344
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. AMMAR  HALLOUM 
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    Credential           |    M.D.
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    Telephone            |    914-464-2344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RC0200X
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    Taxonomy Name        |    Critical Care Medicine (Internal Medicine) Physician
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    License Number       |    M4804
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    License Number State |    TX
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