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NPI 1871567149

NPI 1871567149 : COREY B SALTIN DO : LEOMINSTER, MA

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General NPI Number Information
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    NPI Number           |    1871567149
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    Entity Type          |    Individual 
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    Provider Name        |    COREY B SALTIN DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/14/2006
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    Last Update Date     |    12/09/2010
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Provider Practice Location Address
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    Address Line         |    50 MEMORIAL DRIVE SUITE 113
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    City                 |    LEOMINSTER
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    State                |    MA
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    Zip                  |    01453-2238
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    Country              |    US
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    Telephone            |    978-466-2692
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    Fax                  |    978-466-4754
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Provider Business Mailing Address
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    Address Line         |    PO BOX 726 
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    City                 |    LEOMINSTER
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    State                |    MA
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    Zip                  |    01453
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    Country              |    US
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    Telephone            |    978-466-4549
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    Fax                  |    978-466-4575
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    213237
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    207RA0201X
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    Taxonomy Name        |    Allergy & Immunology (Internal Medicine) Physician
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    License Number       |    213237
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    License Number State |    MA
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Taxonomy #3
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    Taxonomy Code        |    207RC0200X
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    Taxonomy Name        |    Critical Care Medicine (Internal Medicine) Physician
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    License Number       |    213237
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    License Number State |    MA
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Taxonomy #4
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    213237
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    License Number State |    MA
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