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General NPI Number Information
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NPI Number | 1467167189
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Entity Type | Individual
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Provider Name | MARY ELAINE ESCASIO SALMON
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Gender | Female
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 641 MAPLE POINT DR E
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City | CONROE
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State | TX
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Zip | 77301-3170
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Country | US
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Telephone | 661-477-6356
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6890
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City | PINE MOUNTAIN CLUB
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State | CA
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Zip | 93222-6890
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Country | US
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Telephone | 661-477-6356
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number | 48339377
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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