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General NPI Number Information
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NPI Number | 1811755333
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Entity Type | Individual
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Provider Name | MALINDA MARIE SALAMA FNP
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Gender | Female
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 7774 CHERRY AVE STE C
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City | FONTANA
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State | CA
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Zip | 92336-4014
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Country | US
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Telephone | 909-281-9512
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Fax |
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Provider Business Mailing Address
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Address Line | 30680 ROBERT RD
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City | THOUSAND PALMS
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State | CA
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Zip | 92276-6635
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Country | US
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Telephone | 909-368-7214
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | F02241109
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F02241109
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License Number State | CA
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