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General NPI Number Information
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NPI Number | 1730046368
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Entity Type | Individual
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Provider Name | ETHAN SALGADO
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Gender | Male
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 380 RINEHART RD
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City | LAKE MARY
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State | FL
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Zip | 32746-2551
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Country | US
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Telephone | 407-767-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 24416 BREEZY OAK CT
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City | LUTZ
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State | FL
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Zip | 33559-7921
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Country | US
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Telephone | 813-465-0824
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 159544
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License Number State | FL
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