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General NPI Number Information
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NPI Number | 1013415991
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Entity Type | Organization
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Legal Business Name | SALAD HOLDINGS, L.L.C.
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Dates
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Enumeration Date | 01/25/2018
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Last Update Date | 01/25/2018
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Provider Practice Location Address
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Address Line | 11100 N 115TH ST APT 251
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-4093
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Country | US
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Telephone | 785-706-1021
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Fax |
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Provider Business Mailing Address
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Address Line | 11100 N 115TH ST APT 251
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-4093
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF BUSINESS DEVELOPMENT OFFICER
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Name | MS. ELIZABETH CAL
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Credential |
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Telephone | 703-982-0152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 132700000X
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Taxonomy Name | Dietary Manager
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License Number |
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License Number State |
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