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General NPI Number Information
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NPI Number | 1295444511
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Entity Type | Organization
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Legal Business Name | SALAMON SPEECH THERAPY
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Dates
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Enumeration Date | 11/15/2022
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 3219 MISSOURI AVE
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City | LAS CRUCES
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State | NM
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Zip | 88011-4838
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Country | US
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Telephone | 575-805-0330
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Fax |
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Provider Business Mailing Address
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Address Line | 3219 MISSOURI AVE
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City | LAS CRUCES
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State | NM
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Zip | 88011-4838
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Country | US
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Telephone | 575-805-0330
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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. JUDY SALAMON
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Credential | CCC-SLP
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Telephone | 575-201-3822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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