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General NPI Number Information
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NPI Number | 1861471567
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Entity Type | Individual
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Provider Name | MARK CHRISTOPHER SASLO ARNP
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Gender | Male
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 11/24/2008
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Provider Practice Location Address
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Address Line | 7305 NORTH MILITARY TRAIL INFECTIOUS DISEASES
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City | WEST PALM BEACH
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State | FL
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Zip | 33410
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Country | US
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Telephone | 561-422-7522
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Fax |
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Provider Business Mailing Address
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Address Line | 5159 CLUB RD
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City | HAVERHILL
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State | FL
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Zip | 33415-1228
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Country | US
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Telephone | 561-478-2389
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Fax | 561-478-2389
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 3310352
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License Number State | FL
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