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General NPI Number Information
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NPI Number | 1356223788
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Entity Type | Individual
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Provider Name | LISSETTE SALAZAR FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 44311 MONTEREY AVE
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City | PALM DESERT
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State | CA
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Zip | 92260-2710
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Country | US
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Telephone | 760-773-6616
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Fax |
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Provider Business Mailing Address
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Address Line | 52443 LAS PALMAS ST
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City | COACHELLA
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State | CA
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Zip | 92236-2944
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Country | US
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Telephone | 760-851-8680
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95034789
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License Number State | CA
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