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General NPI Number Information
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NPI Number | 1164852893
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Entity Type | Individual
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Provider Name | REBECCA SALOMON BA, MSN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/15/2013
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Last Update Date | 11/15/2013
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Provider Practice Location Address
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Address Line | 612 MOCKSVILLE AVE NOVANT HEALTH PSYCHIATRIC MEDICINE
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City | SALISBURY
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State | NC
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Zip | 28144-2732
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Country | US
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Telephone | 615-397-8039
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Fax |
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Provider Business Mailing Address
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Address Line | 612 MOCKSVILLE AVE NOVANT HEALTH PSYCHIATRIC MEDICINE
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City | SALISBURY
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State | NC
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Zip | 28144-2732
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 190216
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5006598
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License Number State | NC
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