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General NPI Number Information
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NPI Number | 1437238417
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Entity Type | Individual
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Provider Name | JUAN CARLOS E SALAZAR DDS
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Gender | Male
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 3200 NE SUNSET BLVD
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City | RENTON
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State | WA
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Zip | 98056-3335
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Country | US
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Telephone | 425-228-2555
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Fax |
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Provider Business Mailing Address
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Address Line | 6130 NE 7TH CT
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City | RENTON
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State | WA
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Zip | 98059-4590
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Country | US
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Telephone | 425-306-7321
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DE00010047
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE00010047
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License Number State | WA
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