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General NPI Number Information
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NPI Number | 1568880664
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Entity Type | Individual
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Provider Name | JOHN SALO RPH
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Gender | Male
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Dates
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Enumeration Date | 04/04/2014
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Last Update Date | 04/04/2014
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Provider Practice Location Address
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Address Line | 1425 TUSKAWILLA RD
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-5289
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Country | US
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Telephone | 407-699-1388
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Fax | 407-699-7329
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Provider Business Mailing Address
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Address Line | 1425 TUSKAWILLA RD
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-5289
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Country | US
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Telephone | 407-699-1388
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Fax | 407-699-7329
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 27012
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License Number State | FL
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