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General NPI Number Information
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NPI Number | 1982647038
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Entity Type | Individual
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Provider Name | SALEEM BACUS MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 865 STONE STREET
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City | RAHWAY
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State | NJ
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Zip | 07065
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Country | US
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Telephone | 732-381-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 10124 131ST ST
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-2347
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Country | US
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Telephone | 718-441-1793
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 232114
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA07803500
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License Number State | NJ
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