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General NPI Number Information
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NPI Number | 1598816373
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Entity Type | Individual
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Provider Name | ALICIA BETH SALLAND M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 220 SW 84 AVENUE SUITE #206
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City | PLANTATION
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State | FL
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Zip | 33324
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Country | US
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Telephone | 954-423-2300
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Fax | 954-424-4200
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Provider Business Mailing Address
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Address Line | 220 SW 84 AVENUE SUITE #206
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City | PLANTATION
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State | FL
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Zip | 33324
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Country | US
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Telephone | 954-423-2300
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Fax | 954-424-4200
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME70313
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License Number State | FL
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