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General NPI Number Information
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NPI Number | 1285919126
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Entity Type | Organization
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Legal Business Name | PETER SALERNO, DO PA
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Dates
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Enumeration Date | 10/11/2011
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Last Update Date | 10/11/2011
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Provider Practice Location Address
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Address Line | 2828 EDGEHILL LN
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City | HOLLYWOOD
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State | FL
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Zip | 33026-3746
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Country | US
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Telephone | 352-408-8685
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Fax |
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Provider Business Mailing Address
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Address Line | 2828 EDGEHILL LN
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City | HOLLYWOOD
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State | FL
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Zip | 33026-3746
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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 | PHYSICIAN
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Name | PETER J SALERNO
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Credential | D.O.
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Telephone | 352-408-8685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS 11079
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License Number State | FL
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