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General NPI Number Information
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NPI Number | 1093718215
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Entity Type | Individual
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Provider Name | RALPH THOMAS SALVAGNO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 01/05/2015
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Provider Practice Location Address
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Address Line | 13 WESTERN MARYLAND PARKWAY STE 104
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City | HAGERSTOWN
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State | MD
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Zip | 21742-5146
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Country | US
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Telephone | 301-665-4575
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Fax | 301-665-4576
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Provider Business Mailing Address
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Address Line | 13 WESTERN MARYLAND PKWY STE 104
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City | HAGERSTOWN
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State | MD
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Zip | 21740-6474
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Country | US
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Telephone | 301-665-4575
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Fax | 301-665-4576
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | D0034975
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License Number State | MD
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