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General NPI Number Information
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NPI Number | 1770294423
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Entity Type | Organization
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Legal Business Name | SALVO PHYSICIAN PRACTICE PA
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Dates
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Enumeration Date | 12/13/2022
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 600 WILSHIRE BLVD STE 980
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City | LOS ANGELES
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State | CA
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Zip | 90017-3264
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Country | US
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Telephone | 888-600-9540
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Fax | 866-621-3527
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Provider Business Mailing Address
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Address Line | 335 MADISON AVE RM 7D
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City | NEW YORK
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State | NY
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Zip | 10017-4687
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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 | MEDICAL DIRECTOR
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Name | DR. MAX STEVEN PITMAN
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Credential |
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Telephone | 917-626-6941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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