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General NPI Number Information
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NPI Number | 1912674722
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Entity Type | Individual
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Provider Name | FRANCISCO ISAAC SALGADO GARCIA PHD
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Gender | Male
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Dates
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Enumeration Date | 08/28/2021
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Last Update Date | 08/28/2021
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Provider Practice Location Address
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Address Line | 400 INNOVATION DR SUITE 126
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City | MEMPHIS
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State | TN
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Zip | 38152-0001
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Country | US
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Telephone | 901-678-2313
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Fax |
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Provider Business Mailing Address
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Address Line | 8375 PRESTINE LOOP APT 206
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City | CORDOVA
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State | TN
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Zip | 38018-4299
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Country | US
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Telephone | 915-875-2452
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P0000003516
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License Number State | TN
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