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General NPI Number Information
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NPI Number | 1669568721
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Entity Type | Individual
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Provider Name | TRISHA ANN SALOME PT
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 1798 PLANK RD STE 103
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City | DUNCANSVILLE
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State | PA
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Zip | 16635-8389
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Country | US
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Telephone | 814-696-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 3411 OAK LN
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City | ALTOONA
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State | PA
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Zip | 16602-1831
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Country | US
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Telephone | 814-931-7961
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT018186
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License Number State | PA
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