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General NPI Number Information
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NPI Number | 1467662239
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Entity Type | Individual
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Provider Name | JOHN ANTHONY SALKA PT
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 350 7TH ST N
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City | NAPLES
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State | FL
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Zip | 34102-5754
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Country | US
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Telephone | 239-436-5102
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Fax |
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Provider Business Mailing Address
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Address Line | 8149 SARATOGA DR UNIT 1701
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City | NAPLES
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State | FL
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Zip | 34113-3027
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Country | US
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Telephone | 239-430-0503
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Fax | 239-430-0503
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT21468
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License Number State | FL
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