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General NPI Number Information
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NPI Number | 1376884528
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Entity Type | Individual
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Provider Name | EDUARDO JAVIER SALCEDO N.P.
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Gender | Male
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Dates
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Enumeration Date | 03/13/2013
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Last Update Date | 03/13/2013
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Provider Practice Location Address
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Address Line | 1637 3RD AVE
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City | CHULA VISTA
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State | CA
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Zip | 91911-5823
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Country | US
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Telephone | 619-205-1365
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Fax |
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Provider Business Mailing Address
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Address Line | 697 J ST
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City | CHULA VISTA
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State | CA
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Zip | 91910-5244
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Country | US
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Telephone | 619-571-0606
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 22507
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License Number State | CA
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