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General NPI Number Information
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NPI Number | 1801091665
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Entity Type | Individual
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Provider Name | DR. NICOLE MARLA SALTZMAN
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Gender | Female
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 29 BAYVIEW RIDGE
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City | TORONTO
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State | ONTARIO
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Zip | M2L1E3
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Country | CA
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Telephone | 416-445-1363
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Fax |
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Provider Business Mailing Address
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Address Line | 29 BAYVIEW RIDGE
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City | TORONTO
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State | ONTARIO
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Zip | M2L 1E3
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Country | CA
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30022184
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License Number State | OH
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