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General NPI Number Information
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NPI Number | 1760502355
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Entity Type | Individual
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Provider Name | STEVEN D. SALT M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 04/29/2021
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Provider Practice Location Address
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Address Line | 9 ETHEL AVE APT. 2
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City | PEABODY
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State | MA
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Zip | 01960-5308
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Country | US
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Telephone | 978-531-2286
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Fax |
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Provider Business Mailing Address
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Address Line | 132 OMALLEY RD
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City | MARLBOROUGH
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State | MA
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Zip | 01752-2788
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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 |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 50852
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License Number State | MA
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