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General NPI Number Information
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NPI Number | 1023464252
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Entity Type | Individual
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Provider Name | H. HANS SALAMANCA MD PHD
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Gender | Male
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Dates
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Enumeration Date | 05/06/2016
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Last Update Date | 07/06/2020
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Provider Practice Location Address
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Address Line | 101 HARRIS B DATES DR
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City | ITHACA
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State | NY
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Zip | 14850-1383
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Country | US
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Telephone | 607-280-7646
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Fax |
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Provider Business Mailing Address
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Address Line | 757 WARREN RD UNIT 4412
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City | ITHACA
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State | NY
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Zip | 14852-7041
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Country | US
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Telephone | 607-280-7646
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 290877-1
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License Number State | NY
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