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NPI 1629304811

NPI 1629304811 : ERIKA ALFARO SALVO PA-C : MIDLAND, TX

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General NPI Number Information
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    NPI Number           |    1629304811
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    Entity Type          |    Individual 
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    Provider Name        |    ERIKA ALFARO SALVO PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/23/2009
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    Last Update Date     |    03/14/2025
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Provider Practice Location Address
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    Address Line         |    2201 FM 715 ENDEAVOR FAMILY CLINIC
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    City                 |    MIDLAND
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    State                |    TX
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    Zip                  |    79706-4211
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    Country              |    US
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    Telephone            |    802-857-0400
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    Fax                  |    833-848-4175
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5 
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    City                 |    WINOOSKI
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    State                |    VT
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    Zip                  |    05404-0005
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    Country              |    US
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    Telephone            |    802-857-0400
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    Fax                  |    833-316-1780
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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       |    PA06450
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA06450
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    License Number State |    TX
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