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General NPI Number Information
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NPI Number | 1841665023
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Entity Type | Individual
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Provider Name | SHAWNA SALAZAR L.P.N.
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Gender | Female
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 8745 COUNTY ROAD 9 S
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City | ALAMOSA
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State | CO
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Zip | 81101-9610
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Country | US
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Telephone | 719-587-6944
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Fax |
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Provider Business Mailing Address
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Address Line | 6844 MALOUFF RD
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City | ALAMOSA
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State | CO
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Zip | 81101-9739
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Country | US
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Telephone | 719-480-3094
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN0330935
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License Number State | CO
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