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General NPI Number Information
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NPI Number | 1457569394
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Entity Type | Individual
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Provider Name | MICHELE SALONER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 04/29/2013
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Provider Practice Location Address
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Address Line | 690 DE LONG AVE SUITE 150
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City | NOVATO
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State | CA
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Zip | 94945-3359
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Country | US
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Telephone | 415-884-2131
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Fax | 415-884-0371
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Provider Business Mailing Address
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Address Line | 120 EL CAPITAN DR
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City | SAN RAFAEL
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State | CA
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Zip | 94903-1003
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Country | US
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Telephone | 415-884-2131
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Fax | 415-884-0371
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY11542
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License Number State | CA
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