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General NPI Number Information
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NPI Number | 1497866412
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Entity Type | Organization
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Legal Business Name | SALGADO PEDIATRIC AND ORTHOPEDIC THERAPY
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3651 E BASELINE RD STE 111
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City | GILBERT
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State | AZ
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Zip | 85234-2690
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Country | US
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Telephone | 480-907-5825
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Fax | 480-209-1438
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Provider Business Mailing Address
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Address Line | 3651 E BASELINE RD STE 111
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City | GILBERT
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State | AZ
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Zip | 85234-2690
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Country | US
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Telephone | 480-907-5825
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Fax | 480-209-1438
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | JOSE SALGADO
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Credential | MPT
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Telephone | 480-907-5825
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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 | 6453
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License Number State | AZ
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