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General NPI Number Information
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NPI Number | 1700165016
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Entity Type | Individual
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Provider Name | DONALD LAWRENCE SALZ ED.D.
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Gender | Male
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Dates
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Enumeration Date | 08/04/2011
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Last Update Date | 08/04/2011
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Provider Practice Location Address
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Address Line | 2540 LAND PARK DR
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City | SACRAMENTO
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State | CA
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Zip | 95818-2244
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Country | US
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Telephone | 916-813-2959
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Fax | 916-443-1796
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Provider Business Mailing Address
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Address Line | PO BOX 188506
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City | SACRAMENTO
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State | CA
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Zip | 95818-8506
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Country | US
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Telephone | 916-813-2959
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Fax | 915-443-1796
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY 14414
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License Number State | CA
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