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General NPI Number Information
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NPI Number | 1184370686
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Entity Type | Individual
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Provider Name | MR. ROBERT JAMES SALTANOVITZ
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Gender | Male
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Dates
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Enumeration Date | 02/23/2022
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 1355 MARINERS DR
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City | WARSAW
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State | IN
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Zip | 46582-7145
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Country | US
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Telephone | 850-985-9180
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 824246
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City | PHILADELPHIA
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State | PA
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Zip | 19182-4246
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Country | US
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Telephone | 850-985-9180
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 28216375A
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License Number State | IN
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