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General NPI Number Information
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NPI Number | 1699292680
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Entity Type | Organization
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Legal Business Name | SALFATUS GROUP LLC
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Dates
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Enumeration Date | 08/29/2017
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Last Update Date | 08/29/2017
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Provider Practice Location Address
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Address Line | 4822 LONGSHORE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19135-2338
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Country | US
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Telephone | 215-331-3757
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Fax |
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Provider Business Mailing Address
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Address Line | 2314 BENSON ST
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City | PHILADELPHIA
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State | PA
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Zip | 19152-2504
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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 | DIRECTOR
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Name | SVETLANA SALAMI
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Credential |
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Telephone | 215-268-8362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 19763601
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License Number State | PA
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