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General NPI Number Information
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NPI Number | 1164689402
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Entity Type | Individual
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Provider Name | RICHARD O SALMONY PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 01/11/2013
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Provider Practice Location Address
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Address Line | 5213 S ALSTON AVE
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City | DURHAM
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State | NC
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Zip | 27713-4430
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Country | US
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Telephone | 919-684-8111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 63362
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City | CHARLOTTE
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State | NC
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Zip | 28263-3362
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Country | US
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Telephone | 919-684-8111
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 1243
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1243
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 0010-03759
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License Number State | NC
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