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NPI 1700143443

NPI 1700143443 : TAMI SALVAGGIO L.M.T. : FORT MYERS, FL

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General NPI Number Information
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    NPI Number           |    1700143443
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    Entity Type          |    Individual 
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    Provider Name        |    TAMI SALVAGGIO L.M.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/19/2012
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    Last Update Date     |    04/19/2012
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Provider Practice Location Address
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    Address Line         |    15951 MCGREGOR BLVD 
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    City                 |    FORT MYERS
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    State                |    FL
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    Zip                  |    33908-2552
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    Country              |    US
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    Telephone            |    239-433-5995
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    Fax                  |    239-288-4916
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Provider Business Mailing Address
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    Address Line         |    15951 MCGREGOR BLVD 
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    City                 |    FORT MYERS
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    State                |    FL
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    Zip                  |    33908-2552
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    Country              |    US
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    Telephone            |    239-433-5995
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    Fax                  |    239-288-4916
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    MA56557
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    License Number State |    FL
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