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General NPI Number Information
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NPI Number | 1770928657
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Entity Type | Organization
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Legal Business Name | SALUBRIO, LLC
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Dates
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Enumeration Date | 05/06/2013
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | 555 E BASSE RD SUITE 111
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City | SAN ANTONIO
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State | TX
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Zip | 78209-8353
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Country | US
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Telephone | 855-723-7658
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Fax | 210-855-7047
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Provider Business Mailing Address
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Address Line | 555 E BASSE RD SUITE 111
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City | SAN ANTONIO
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State | TX
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Zip | 78209-8353
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Country | US
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Telephone | 855-723-7658
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Fax | 210-855-7047
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Authorized Official
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Title or Position | MD/SOLE MEMBER
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Name | DOUGLAS SMITH
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Credential |
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Telephone | 855-723-7658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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