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General NPI Number Information
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NPI Number | 1942637160
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Entity Type | Organization
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Legal Business Name | GAMAL SALEH MD LLC
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 04/07/2014
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Provider Practice Location Address
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Address Line | 107 N BRIDGE ST
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City | ELKTON
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State | MD
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Zip | 21921-5326
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Country | US
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Telephone | 801-502-8410
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Fax | 443-291-7511
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Provider Business Mailing Address
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Address Line | 107 N BRIDGE ST
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City | ELKTON
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State | MD
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Zip | 21921-5326
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Country | US
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Telephone | 801-502-8410
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Fax | 443-291-7511
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Authorized Official
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Title or Position | PRESIDENT
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Name | GAMAL SALEH
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Credential | MD
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Telephone | 801-502-8410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D75291
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License Number State | MD
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