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General NPI Number Information
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NPI Number | 1194298109
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Entity Type | Individual
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Provider Name | ARSHO SIROUN SALAZAR PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 2650 E FOOTHILL BLVD
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City | PASADENA
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State | CA
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Zip | 91107-3439
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Country | US
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Telephone | 626-577-2261
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Fax |
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Provider Business Mailing Address
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Address Line | 10401 ARNWOOD RD
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City | SYLMAR
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State | CA
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Zip | 91342-6907
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Country | US
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Telephone | 818-237-7052
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 828896
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 828896
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP95015625
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License Number State | CA
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