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General NPI Number Information
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NPI Number | 1689103590
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Entity Type | Individual
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Provider Name | JOSE A. SALAZAR LCSW
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Gender | Male
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 4309 N 22ND ST
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City | MCALLEN
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State | TX
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Zip | 78504-4167
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Country | US
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Telephone | 956-354-7077
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4463
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City | EDINBURG
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State | TX
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Zip | 78540-4463
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 61161
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License Number State | TX
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