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General NPI Number Information
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NPI Number | 1407046188
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Entity Type | Organization
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Legal Business Name | SALM MEDICAL GROUP LLC
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 10131 W FOREST HILL BLVD STE 100A
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City | WELLINGTON
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State | FL
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Zip | 33414-6109
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Country | US
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Telephone | 561-543-4083
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Fax | 561-753-6368
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Provider Business Mailing Address
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Address Line | 10131 W FOREST HILL BLVD STE 100A
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City | WELLINGTON
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State | FL
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Zip | 33414-6109
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Country | US
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Telephone | 561-543-4083
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Fax | 561-753-6368
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARMANDO ENRIQUE MARULL
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Credential | M.D.
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Telephone | 561-543-4083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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