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NPI 1487831129

NPI 1487831129 : JOEL JAYSON SALTER D.C., FNP-C, PMHNP : GILBERT, AZ

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General NPI Number Information
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    NPI Number           |    1487831129
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    Entity Type          |    Individual 
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    Provider Name        |    JOEL JAYSON SALTER D.C., FNP-C, PMHNP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/24/2008
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    Last Update Date     |    03/11/2022
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Provider Practice Location Address
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    Address Line         |    3921 E BASELINE RD STE 111 
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    City                 |    GILBERT
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    State                |    AZ
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    Zip                  |    85234-2731
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    Country              |    US
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    Telephone            |    480-508-1522
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    Fax                  |    480-576-7469
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Provider Business Mailing Address
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    Address Line         |    3921 E BASELINE RD STE 111 
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    City                 |    GILBERT
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    State                |    AZ
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    Zip                  |    85234-2731
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    Country              |    US
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    Telephone            |    480-508-1522
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    Fax                  |    480-576-7469
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    AP5190
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    AP5190
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    License Number State |    AZ
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Taxonomy #3
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    6858781-1202
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    License Number State |    UT
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