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General NPI Number Information
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NPI Number | 1770426405
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Entity Type | Organization
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Legal Business Name | TELEVARIS PHYSICIAN PRACTICE,P.A.
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 5880 SW 47TH ST
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City | MIAMI
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State | FL
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Zip | 33155-6027
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Country | US
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Telephone | 570-854-4972
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Fax |
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Provider Business Mailing Address
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Address Line | 5352 CEDARLAWN DR
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City | PLACENTIA
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State | CA
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Zip | 92870-3616
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Country | US
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Telephone | 714-272-9849
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JUAN SALGADO CAMPO
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Credential | MD
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Telephone | 570-854-4972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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