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General NPI Number Information
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NPI Number | 1083839070
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Entity Type | Individual
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Provider Name | JESUS SALVADOR LIGOT JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 1400 BLACKHORSE HILL RD
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City | COATESVILLE
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State | PA
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Zip | 19320-2040
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Country | US
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Telephone | 610-384-7771
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Fax |
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Provider Business Mailing Address
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Address Line | 318 JEFFERSON CIRCLE DR
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City | FENTON
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State | MO
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Zip | 63026-4611
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Country | US
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Telephone | 636-825-2200
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Fax | 636-825-2201
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2018006625
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License Number State | MO
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