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General NPI Number Information
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NPI Number | 1184918062
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Entity Type | Individual
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Provider Name | ANTHONY M SALAZAR PTA
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Gender | Male
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Dates
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Enumeration Date | 06/08/2011
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Last Update Date | 06/08/2011
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Provider Practice Location Address
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Address Line | 2150 S ARIZONA AVE APT 3024
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City | CHANDLER
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State | AZ
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Zip | 85286
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Country | US
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Telephone | 575-302-1934
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Fax |
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Provider Business Mailing Address
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Address Line | 2150 S ARIZONA AVE APT 3024
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City | CHANDLER
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State | AZ
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Zip | 85286-7745
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Country | US
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Telephone | 575-302-1934
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 8484A
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License Number State | AZ
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