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General NPI Number Information
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NPI Number | 1164143384
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Entity Type | Individual
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Provider Name | ANGELINE ROSE SALINAS PT
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Gender | Female
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Dates
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Enumeration Date | 09/06/2022
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 35 HAMDEN HILLS DR
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City | HAMDEN
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State | CT
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Zip | 06518-5322
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Country | US
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Telephone | 203-590-1180
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Fax |
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Provider Business Mailing Address
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Address Line | 143 CHARDONNAY DR
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City | EAST QUOGUE
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State | NY
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Zip | 11942-3829
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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 |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 13695
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License Number State | CT
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