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General NPI Number Information
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NPI Number | 1174851794
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Entity Type | Organization
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Legal Business Name | THOMAS H SALMON, MD,PA.
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Dates
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Enumeration Date | 11/19/2009
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 1600 W COLLEGE ST SUITE 410
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City | GRAPEVINE
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State | TX
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Zip | 76051-3580
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Country | US
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Telephone | 817-329-4433
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Fax | 972-869-9914
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Provider Business Mailing Address
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Address Line | 405 STATE HIGHWAY 121 BYP BUILDING A STE 150
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City | LEWISVILLE
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State | TX
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Zip | 75067-8214
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Country | US
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Telephone | 972-869-3448
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Fax | 972-869-9914
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JACKI BAILLEU
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Credential | BA
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Telephone | 817-690-8873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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