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General NPI Number Information
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NPI Number | 1194036384
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Entity Type | Organization
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Legal Business Name | SALA, LLC
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 3700 N CAPITOL ST NW SHERMAN BUILDING
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City | WASHINGTON
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State | DC
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Zip | 20011-8400
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Country | US
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Telephone | 410-782-1122
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Fax | 240-266-0573
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Provider Business Mailing Address
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Address Line | 11728 BROOKEVILLE LANDING CT
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City | BOWIE
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State | MD
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Zip | 20721-4504
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Country | US
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Telephone | 410-782-1122
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Fax | 240-266-0573
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. ALONZO NIXON
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Credential |
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Telephone | 410-782-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number | 13852399
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 350000073931
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License Number State | DC
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