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General NPI Number Information
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NPI Number | 1629250881
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Entity Type | Organization
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Legal Business Name | SAL-LEO INC.
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 02/07/2014
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Provider Practice Location Address
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Address Line | 3100 W CHARLESTON BLVD STE 205
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City | LAS VEGAS
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State | NV
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Zip | 89102-1900
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Country | US
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Telephone | 702-258-4469
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Fax | 702-259-0239
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Provider Business Mailing Address
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Address Line | 3100 W CHARLESTON BLVD STE 205
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City | LAS VEGAS
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State | NV
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Zip | 89102-1900
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Country | US
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Telephone | 702-258-4469
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Fax | 702-259-0239
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANCIS ESCOLIN JIMENEZ
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Credential | M.D.
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Telephone | 702-285-4469
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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 | 9268
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License Number State | NV
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