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General NPI Number Information
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NPI Number | 1710091962
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Entity Type | Individual
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Provider Name | BRENDA LEE SALMERON NP
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Gender | Female
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 01/16/2019
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Provider Practice Location Address
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Address Line | 2005 VETERANS MEMORIAL BLVD
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City | METAIRIE
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State | LA
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Zip | 70002-6320
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Country | US
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Telephone | 504-836-9280
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CAROLINE AVE
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City | RIVER RIDGE
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State | LA
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Zip | 70123-1806
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Country | US
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Telephone | 504-452-8185
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN056863
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License Number State | LA
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