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General NPI Number Information
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NPI Number | 1053370809
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Entity Type | Organization
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Legal Business Name | SALVADOR V. DEL ROSARIO,M.D., S.C.
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 06/22/2009
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Provider Practice Location Address
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Address Line | N54W6135 MILL ST SUITE 600
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City | CEDARBURG
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State | WI
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Zip | 53012-2021
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Country | US
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Telephone | 262-375-1130
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Fax | 262-375-7006
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Provider Business Mailing Address
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Address Line | PO BOX 72018
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City | CEDARBURG
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State | WI
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Zip | 53012-7218
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SALVADOR VELOSO DEL ROSARIO
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Credential | M.D.
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Telephone | 262-375-1130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20277
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License Number State | WI
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