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General NPI Number Information
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NPI Number | 1174913933
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Entity Type | Organization
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Legal Business Name | DANA SALGADO OD PC
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Dates
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Enumeration Date | 02/02/2015
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Last Update Date | 06/22/2015
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Provider Practice Location Address
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Address Line | 1692 CENTRAL AVE
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City | ALBANY
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State | NY
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Zip | 12205-4045
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Country | US
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Telephone | 518-869-2560
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Fax |
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Provider Business Mailing Address
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Address Line | 1692 CENTRAL AVE
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City | ALBANY
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State | NY
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Zip | 12205-4045
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Country | US
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Telephone | 518-869-2560
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. DANA S SALGADO
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Credential | O.D.
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Telephone | 617-256-7916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 007008
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License Number State | NY
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