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General NPI Number Information
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NPI Number | 1215564133
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Entity Type | Individual
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Provider Name | KARLA LISSETH MALTEZ SALVADOR MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 4510 MEDICAL CENTER DR STE 311
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City | MCKINNEY
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State | TX
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Zip | 75069-1604
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Country | US
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Telephone | 972-540-6256
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Fax | 972-540-5071
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Provider Business Mailing Address
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Address Line | 4510 MEDICAL CENTER DR STE 311
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City | MCKINNEY
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State | TX
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Zip | 75069-1604
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Country | US
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Telephone | 972-540-6256
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Fax | 972-540-5071
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | U5750
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License Number State | TX
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