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NPI 1013679323

NPI 1013679323 : THOMAS SALINAS, DDS, PA : LECANTO, FL

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General NPI Number Information
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    NPI Number           |    1013679323
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    Entity Type          |    Organization 
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    Legal Business Name  |    THOMAS SALINAS, DDS, PA 
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Dates
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    Enumeration Date     |    10/13/2021
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    Last Update Date     |    10/14/2021
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Provider Practice Location Address
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    Address Line         |    1972 N FUTURE TER 
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    City                 |    LECANTO
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    State                |    FL
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    Zip                  |    34461-9341
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    Country              |    US
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    Telephone            |    352-746-9111
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    Fax                  |    352-746-7180
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Provider Business Mailing Address
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    Address Line         |    1972 N FUTURE TER 
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    City                 |    LECANTO
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    State                |    FL
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    Zip                  |    34461-9341
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    Country              |    US
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    Telephone            |    352-746-9111
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    Fax                  |    352-746-7180
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. THOMAS  SALINAS 
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    Credential           |    DDS
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    Telephone            |    352-746-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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