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General NPI Number Information
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NPI Number | 1245259084
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Entity Type | Individual
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Provider Name | ROBERT FRANK SALAZAR ARNP
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 5071 SW 119TH AVE
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City | COOPER CITY
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State | FL
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Zip | 33330-4404
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Country | US
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Telephone | 954-655-0779
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Fax | 954-252-1849
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Provider Business Mailing Address
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Address Line | 5071 SW 119TH AVE
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City | COOPER CITY
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State | FL
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Zip | 33330-4404
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Country | US
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Telephone | 954-655-0779
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Fax | 954-252-1849
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP3248502
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License Number State | FL
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