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General NPI Number Information
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NPI Number | 1023396546
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Entity Type | Organization
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Legal Business Name | CECILIA SALAZAR, DMD, PA
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Dates
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Enumeration Date | 08/01/2011
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Last Update Date | 08/15/2011
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Provider Practice Location Address
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Address Line | 2201 SE 18TH ST APT 210
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-3649
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Country | US
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Telephone | 561-201-1844
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 SE 18TH ST APT 210
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-3649
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Country | US
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Telephone | 561-201-1844
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. CECILIA DE LAS MERCEDES SALAZAR
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Credential | DMD
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Telephone | 561-201-1844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN19356
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License Number State | FL
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