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General NPI Number Information
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NPI Number | 1366531469
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Entity Type | Individual
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Provider Name | NANCY SUE SALISBURY D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 1000 VALE TERRACE DR
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City | VISTA
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State | CA
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Zip | 92084-5218
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Country | US
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Telephone | 760-631-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 42302 OREGON TRL
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City | MURRIETA
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State | CA
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Zip | 92562-5229
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Country | US
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Telephone | 619-922-8841
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 52169
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 52169
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License Number State | CA
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