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General NPI Number Information
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NPI Number | 1790272003
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Entity Type | Individual
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Provider Name | AMY SALZMAN
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Gender | Female
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Dates
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Enumeration Date | 04/23/2018
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Last Update Date | 04/23/2018
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Provider Practice Location Address
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Address Line | 16201 NE 13TH AVE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4607
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Country | US
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Telephone | 305-955-6224
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 NE 176TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-1245
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Country | US
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Telephone | 305-305-7166
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1119385
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License Number State | FL
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