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General NPI Number Information
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NPI Number | 1922205079
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Entity Type | Individual
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Provider Name | WADID YOUSSEF ZAKY SALAMA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 10231 OLD OCEAN CITY BLVD STE 208
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City | BERLIN
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State | MD
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Zip | 21811-3568
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Country | US
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Telephone | 240-616-6006
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Fax | 240-616-2828
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Provider Business Mailing Address
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Address Line | 10231 OLD OCEAN CITY BLVD STE 208
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City | BERLIN
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State | MD
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Zip | 21811-3568
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Country | US
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Telephone | 240-616-6006
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Fax | 240-616-2828
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 0101252883
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 2016-00023
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | C1-0012391
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 232877
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | D74778
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License Number State | MD
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