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General NPI Number Information
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NPI Number | 1558732057
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Entity Type | Individual
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Provider Name | JENNIFER SALAZAR PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/09/2015
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 2023 N MASON RD STE 204
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City | KATY
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State | TX
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Zip | 77449-3779
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Country | US
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Telephone | 281-394-0370
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Fax | 281-206-7474
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Provider Business Mailing Address
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Address Line | 5003 HARVEST KNOLL DR
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City | SPRING
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State | TX
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Zip | 77389-1643
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Country | US
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Telephone | 281-635-1759
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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