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General NPI Number Information
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NPI Number | 1427174168
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Entity Type | Individual
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Provider Name | KIM ARLEN SALGAT D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 02/20/2020
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Provider Practice Location Address
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Address Line | 4028 STATE ST
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City | SAGINAW
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State | MI
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Zip | 48603-4070
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Country | US
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Telephone | 989-793-6144
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Fax | 989-793-6153
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Provider Business Mailing Address
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Address Line | 4463 CASTLEWOOD CT
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City | HOUGHTON LAKE
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State | MI
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Zip | 48629-9024
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Country | US
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Telephone | 989-366-8708
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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 | 015061
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License Number State | MI
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