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General NPI Number Information
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NPI Number | 1518338003
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Entity Type | Individual
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Provider Name | JAY SALZMAN PT
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Gender | Male
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Dates
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Enumeration Date | 10/09/2015
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Last Update Date | 10/09/2015
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Provider Practice Location Address
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Address Line | 2839 SE STARK ST
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City | PORTLAND
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State | OR
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Zip | 97214-3048
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Country | US
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Telephone | 503-804-5666
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Fax |
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Provider Business Mailing Address
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Address Line | 7327 SW BARNES RD # 605
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City | PORTLAND
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State | OR
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Zip | 97225-6119
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Country | US
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Telephone | 503-804-5666
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Fax |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 1479
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License Number State | OR
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