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General NPI Number Information
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NPI Number | 1609945484
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Entity Type | Individual
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Provider Name | MICHAEL SALVADOR
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Gender | Male
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3499 US HIGHWAY 9 NORTH JUNIPER PLAZA STE 3D
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City | FREEHOLD
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State | NJ
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Zip | 07728-3258
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Country | US
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Telephone | 732-294-0024
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Fax |
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Provider Business Mailing Address
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Address Line | 405 GRIER AVE
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City | ELIZABETH
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State | NJ
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Zip | 07202-3305
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Country | US
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Telephone | 908-289-6451
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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