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General NPI Number Information
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NPI Number | 1215239199
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Entity Type | Organization
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Legal Business Name | DANIEL M SALCEDO MD PC
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Dates
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Enumeration Date | 11/26/2010
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Last Update Date | 03/22/2011
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Provider Practice Location Address
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Address Line | 6245 SHERIDAN DRIVE SUITE 116
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-4827
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Country | US
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Telephone | 716-505-1500
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Fax | 888-351-4329
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Provider Business Mailing Address
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Address Line | 6245 SHERIDAN DRIVE SUITE 116
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-4827
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Country | US
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Telephone | 716-505-1500
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Fax | 888-351-4329
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL M SALCEDO
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Credential | M.D.
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Telephone | 716-250-7420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 238429
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License Number State | NY
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