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General NPI Number Information
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NPI Number | 1346365939
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Entity Type | Individual
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Provider Name | MR. JOSE DANIEL SALAZAR
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 26 W FIGUEROA ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-3104
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Country | US
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Telephone | 805-963-8961
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Fax | 805-963-8964
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Provider Business Mailing Address
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Address Line | 1729 VILLA AVE APT B
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City | SANTA BARBARA
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State | CA
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Zip | 93101-4654
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Country | US
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Telephone | 805-636-6489
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Fax | 805-856-0457
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1446
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License Number State | CA
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