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General NPI Number Information
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NPI Number | 1275486904
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Entity Type | Organization
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Legal Business Name | SALASA LLC
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 4165 PATTERSON AVE
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City | BALTIMORE
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State | MD
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Zip | 21215-2221
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Country | US
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Telephone | 443-873-8999
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Fax |
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Provider Business Mailing Address
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Address Line | 411 GLENMONT AVE
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City | GLEN BURNIE
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State | MD
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Zip | 21061-2048
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Country | US
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Telephone | 443-710-5030
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARC DAVID ATTMAN
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Credential | OD
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Telephone | 443-710-5030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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