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General NPI Number Information
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NPI Number | 1487947826
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Entity Type | Individual
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Provider Name | MARIO LUIS SALGUERO GALLAND M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2011
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 8950 VILLA LA JOLLA DR STE B214
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City | LA JOLLA
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State | CA
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Zip | 92037-1708
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Country | US
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Telephone | 858-461-8614
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Fax | 888-653-3671
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Provider Business Mailing Address
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Address Line | 8677 VILLA LA JOLLA DR # 345
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City | LA JOLLA
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State | CA
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Zip | 92037-2354
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Country | US
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Telephone | 858-461-8614
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Fax | 888-653-3671
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A122101
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License Number State | CA
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