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General NPI Number Information
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NPI Number | 1891409652
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Entity Type | Individual
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Provider Name | SALMAN ABBASIFARD MD
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Gender | Male
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Dates
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Enumeration Date | 01/06/2023
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 5841 S MARYLAND AVE STE J-341
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City | CHICAGO
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State | IL
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Zip | 60637-1443
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Country | US
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Telephone | 773-834-0685
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Fax |
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Provider Business Mailing Address
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Address Line | 1645 GRAND CONCOURSE
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City | BRONX
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State | NY
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Zip | 10452-5810
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Country | US
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Telephone | 718-960-1216
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Fax | 718-579-2644
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | P118883
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License Number State | NY
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