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General NPI Number Information
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NPI Number | 1891266045
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Entity Type | Individual
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Provider Name | SALAH EDDINE BELLAHSENE CRT - RRT
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Gender | Male
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/16/2018
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Provider Practice Location Address
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Address Line | 2500 MERCED ST
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City | SAN LEANDRO
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State | CA
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Zip | 94577-4201
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Country | US
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Telephone | 510-454-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1581 JACOB AVE
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City | SAN JOSE
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State | CA
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Zip | 95118-1630
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Country | US
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Telephone |
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Fax |
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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 | 2279C0205X
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Taxonomy Name | Critical Care Registered Respiratory Therapist
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License Number |
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License Number State |
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