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General NPI Number Information
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NPI Number | 1669896023
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Entity Type | Individual
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Provider Name | COLEEN RAE SALAZAR LM, CPM, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 02/05/2014
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 502 S WILLIS ST
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City | VISALIA
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State | CA
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Zip | 93277-2526
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Country | US
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Telephone | 559-697-5721
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Fax | 559-468-0383
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Provider Business Mailing Address
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Address Line | 2740 W NEWTON CT
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City | VISALIA
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State | CA
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Zip | 93291-8050
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Country | US
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Telephone | 559-697-5721
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Fax | 559-372-7911
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | L-30679
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | LM752
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License Number State | CA
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