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General NPI Number Information
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NPI Number | 1356401863
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Entity Type | Individual
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Provider Name | JOSEPH ENRICO SALVATORE JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 20 NASSAU ST SUITE 512
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City | PRINCETON
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State | NJ
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Zip | 08542-4509
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Country | US
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Telephone | 609-252-0777
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Fax | 609-252-0778
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Provider Business Mailing Address
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Address Line | 44 NASSAU ST STE 361
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City | PRINCETON
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State | NJ
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Zip | 08542-4511
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Country | US
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Telephone | 609-252-0777
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Fax | 609-228-4224
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA075086600
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License Number State | NJ
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