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General NPI Number Information
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NPI Number | 1033204805
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Entity Type | Individual
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Provider Name | DAWN MARIA SALVATORE M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 111 S 11TH ST SUITE 6270
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4824
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Country | US
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Telephone | 215-955-6540
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Fax | 215-923-0835
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Provider Business Mailing Address
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Address Line | 111 S 11TH ST SUITE 6270
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4824
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Country | US
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Telephone | 215-955-6540
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Fax | 215-923-0835
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 01057954A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD445407
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License Number State | PA
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