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General NPI Number Information
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NPI Number | 1528883816
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Entity Type | Individual
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Provider Name | DAVID ELIECER LOPEZ SALAMANCA PT, MSC EPIDEMIOLOGY
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Gender | Male
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 8200 NW 27TH ST STE 101
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City | DORAL
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State | FL
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Zip | 33122-1902
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Country | US
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Telephone | 305-591-4181
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Fax |
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Provider Business Mailing Address
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Address Line | 806 NW 156TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1517
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT42561
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License Number State | FL
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