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General NPI Number Information
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NPI Number | 1962028936
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Entity Type | Organization
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Legal Business Name | SAL PSYCHIATRY SERVICES PC
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 05/18/2023
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Provider Practice Location Address
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Address Line | 13132 STUDEBAKER RD STE 10
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City | NORWALK
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State | CA
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Zip | 90650-2576
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Country | US
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Telephone | 989-475-2543
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Fax |
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Provider Business Mailing Address
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Address Line | 13132 STUDEBAKER RD STE 10
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City | NORWALK
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State | CA
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Zip | 90650-2576
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Country | US
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Telephone | 562-280-7176
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Fax | 562-262-0735
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Authorized Official
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Title or Position | OWNER
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Name | DR. SALISU ADEJO AIKOYE
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Credential | MD
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Telephone | 989-475-2543
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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