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General NPI Number Information
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NPI Number | 1326655598
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Entity Type | Individual
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Provider Name | GABRIELLE SALAZAR ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 205 HIRST RD STE 201
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City | PURCELLVILLE
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State | VA
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Zip | 20132-6600
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Country | US
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Telephone | 681-252-4685
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Fax |
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Provider Business Mailing Address
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Address Line | 55 TRANQUILITY CT
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City | HARPERS FERRY
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State | WV
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Zip | 25425-3030
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Country | US
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Telephone | 304-261-2951
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT001861
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0126004193
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License Number State | VA
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