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General NPI Number Information
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NPI Number | 1528080835
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Entity Type | Individual
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Provider Name | PETER JEAN SALZER LCSW
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 02/10/2010
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Provider Practice Location Address
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Address Line | 1950 LAUREL MANOR DR STE 240
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City | THE VILLAGES
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State | FL
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Zip | 32162-5602
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Country | US
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Telephone | 352-390-0487
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Fax |
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Provider Business Mailing Address
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Address Line | 9830 SE 157TH LN
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City | SUMMERFIELD
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State | FL
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Zip | 34491-5740
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P064288
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License Number State | NY
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