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General NPI Number Information
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NPI Number | 1487751632
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Entity Type | Individual
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Provider Name | JESS D SALINAS JR. MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 2692 W LAKE MARY BLVD
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City | LAKE MARY
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State | FL
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Zip | 32746-3535
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Country | US
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Telephone | 407-936-2070
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Fax | 407-936-2071
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Provider Business Mailing Address
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Address Line | 5365 W ATLANTIC AVE SUITE 504
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City | DELRAY BEACH
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State | FL
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Zip | 33484-8172
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Country | US
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Telephone | 561-241-9300
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Fax | 561-241-9339
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME96290
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME96290
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | ME96290
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | ME96290
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME96290
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License Number State | FL
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