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General NPI Number Information
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NPI Number | 1285837971
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Entity Type | Individual
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Provider Name | RENEE NICOLE SALINAS PT
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Gender | Female
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 12/09/2009
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Provider Practice Location Address
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Address Line | 1620 READ RD
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City | PICAYUNE
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State | MS
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Zip | 39466-2710
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Country | US
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Telephone | 601-798-1811
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Fax | 601-798-2362
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Provider Business Mailing Address
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Address Line | 1620 READ RD
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City | PICAYUNE
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State | MS
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Zip | 39466-2710
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Country | US
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Telephone | 601-798-1811
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Fax | 601-798-2362
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 07167R
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License Number State | LA
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