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General NPI Number Information
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NPI Number | 1265919641
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Entity Type | Individual
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Provider Name | ALISSA SALVATORE RN, CBRN, PHN, WCC
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Gender | Female
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Dates
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Enumeration Date | 07/27/2018
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 2823 FRESNO ST
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City | FRESNO
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State | CA
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Zip | 93721-1324
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Country | US
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Telephone | 559-459-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 2823 FRESNO ST FL 5
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City | FRESNO
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State | CA
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Zip | 93721-1324
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Country | US
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Telephone |
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 7070648
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 570470
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 210737980
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95232310
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License Number State | CA
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