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General NPI Number Information
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NPI Number | 1578868709
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Entity Type | Organization
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Legal Business Name | HERB G. SALISBURY, PA
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Dates
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Enumeration Date | 01/19/2011
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Last Update Date | 01/19/2011
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Provider Practice Location Address
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Address Line | 2410 SAINT ANDREWS BLVD SUITE C
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City | PANAMA CITY
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State | FL
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Zip | 32405-2134
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Country | US
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Telephone | 850-784-0700
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Fax | 850-784-0903
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Provider Business Mailing Address
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Address Line | 2410 SAINT ANDREWS BLVD SUITE C
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City | PANAMA CITY
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State | FL
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Zip | 32405-2134
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Country | US
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Telephone | 850-784-0700
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Fax | 850-784-0903
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. HERB G SALISBURY III
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Credential | D.M.D
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Telephone | 850-784-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN8608
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License Number State | FL
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