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General NPI Number Information
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NPI Number | 1023609807
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Entity Type | Individual
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Provider Name | GEORGE SALAMA PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 1407 M D LN STE A
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5349
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Country | US
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Telephone | 850-877-0635
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Fax | 850-205-0195
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Provider Business Mailing Address
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Address Line | 2606 CENTENNIAL PL
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City | TALLAHASSEE
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State | FL
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Zip | 32308-0572
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Country | US
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Telephone | 850-205-0189
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Fax | 850-329-2903
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9114119
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License Number State | FL
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