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General NPI Number Information
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NPI Number | 1851254064
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Entity Type | Organization
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Legal Business Name | SALVUS MEDICAL GROUP CORP
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 4930 PALM AVE
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City | HIALEAH
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State | FL
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Zip | 33012-3726
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Country | US
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Telephone | 305-707-9496
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Fax | 305-707-9497
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Provider Business Mailing Address
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Address Line | 5526 SW 6TH ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-1058
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Country | US
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Telephone | 305-707-9496
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Fax | 305-707-9497
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Authorized Official
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Title or Position | OWNER
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Name | NELSON DIAZ
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Credential |
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Telephone | 305-707-9496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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