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General NPI Number Information
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NPI Number | 1891108338
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Entity Type | Organization
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Legal Business Name | CARLOS A. SALUP, M.D. P.A.
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 07/28/2014
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Provider Practice Location Address
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Address Line | 920 37TH PL SUITE 105
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City | VERO BEACH
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State | FL
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Zip | 32960-6573
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Country | US
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Telephone | 772-778-7844
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Fax | 772-299-1595
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Provider Business Mailing Address
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Address Line | 920 37TH PL SUITE 105
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City | VERO BEACH
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State | FL
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Zip | 32960-6573
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Country | US
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Telephone | 772-778-7844
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Fax | 772-299-1595
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Authorized Official
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Title or Position | OWNER
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Name | CARLOS A. SALUP
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Credential | M.D.
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Telephone | 772-778-7844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME41732
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License Number State | FL
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