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General NPI Number Information
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NPI Number | 1124232442
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Entity Type | Organization
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Legal Business Name | JOEL S. SALAND, M.D., P.A.
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 11/25/2014
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Provider Practice Location Address
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Address Line | 3717 ALTEZ ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3325
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Country | US
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Telephone | 505-299-8158
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Fax |
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Provider Business Mailing Address
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Address Line | 3717 ALTEZ ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3325
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Country | US
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Telephone | 505-299-8158
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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. JOEL S SALAND
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Credential | M.D.
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Telephone | 505-299-8158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080H0002X
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Taxonomy Name | Pediatric Hospice and Palliative Medicine Physician
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License Number | NM 71-204
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License Number State | NM
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