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General NPI Number Information
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NPI Number | 1427115674
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Entity Type | Individual
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Provider Name | BETTY JO SALMERON M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 4940 EASTERN AVE COMMUNITY PSYCHIATRY PRACTICE
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City | BALTIMORE
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State | MD
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Zip | 21224-2735
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Country | US
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Telephone | 410-550-0016
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Fax |
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Provider Business Mailing Address
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Address Line | 612 HORNCREST RD
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City | TOWSON
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State | MD
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Zip | 21204-4224
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Country | US
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Telephone | 410-337-8828
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D59268
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License Number State | MD
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