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General NPI Number Information
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NPI Number | 1457009482
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Entity Type | Individual
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Provider Name | YELITZA MERCEDES LOPEZ-SALAZAR MT
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Gender | Female
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Dates
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Enumeration Date | 03/18/2022
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 11511 KATY FWY STE 406
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City | HOUSTON
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State | TX
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Zip | 77079-1903
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Country | US
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Telephone | 863-812-6228
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Fax | 832-626-3627
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Provider Business Mailing Address
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Address Line | 11511 KATY FWY STE 406
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City | HOUSTON
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State | TX
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Zip | 77079-1914
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Country | US
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Telephone | 832-365-9842
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MT126765
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT126765
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License Number State | TX
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