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General NPI Number Information
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NPI Number | 1922413327
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Entity Type | Individual
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Provider Name | YUSUF SALAH
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Gender | Male
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Dates
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Enumeration Date | 06/24/2014
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Last Update Date | 03/18/2018
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Provider Practice Location Address
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Address Line | 1513 NORFOLK AVE
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City | WESTCHESTER
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State | IL
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Zip | 60154-3737
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Country | US
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Telephone | 630-733-8775
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Fax | 630-326-2200
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Provider Business Mailing Address
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Address Line | 7557 W 92ND ST APT 201
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City | BRIDGEVIEW
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State | IL
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Zip | 60455-2197
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Country | US
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Telephone | 708-296-0230
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Fax | 630-326-2200
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036145263
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License Number State | IL
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