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General NPI Number Information
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NPI Number | 1588630255
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Entity Type | Individual
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Provider Name | PEPITO SALCEDO MD
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Gender | Male
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 103 REDBUD DR SUITE E
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City | PORTLAND
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State | TN
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Zip | 37148-1617
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Country | US
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Telephone | 615-325-1206
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Fax | 615-325-1245
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Provider Business Mailing Address
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Address Line | 2 MARYLAND FARMS SUITE 222
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City | BRENTWOOD
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State | TN
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Zip | 37027-5007
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Country | US
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Telephone | 800-661-3365
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Fax | 866-689-4661
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 007659
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License Number State | TN
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