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General NPI Number Information
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NPI Number | 1871486357
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Entity Type | Individual
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Provider Name | NICOLE MARIE SALERNO
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Gender | Female
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 1812 2ND ST SW
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City | ROCHESTER
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State | MN
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Zip | 55902-4127
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Country | US
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Telephone | 507-208-4141
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Fax | 507-229-1001
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Provider Business Mailing Address
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Address Line | 1812 2ND ST SW
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City | ROCHESTER
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State | MN
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Zip | 55902-4127
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Country | US
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Telephone | 507-250-7750
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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 | D15301
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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