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General NPI Number Information
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NPI Number | 1093512527
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Entity Type | Individual
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Provider Name | JORGE ARTURO SALAZAR JR. OD
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Gender | Male
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 182 W 32ND ST
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City | YUMA
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State | AZ
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Zip | 85364-8127
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Country | US
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Telephone | 928-726-7757
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Fax | 928-726-2239
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Provider Business Mailing Address
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Address Line | 661 N BINGHAM AVE
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City | SOMERTON
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State | AZ
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Zip | 85350-6310
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Country | US
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Telephone | 928-550-1154
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT-002862
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License Number State | AZ
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