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General NPI Number Information
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NPI Number | 1922125996
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Entity Type | Organization
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Legal Business Name | JULIA V SALMON
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 1773 W SAINT MARYS RD SUITE 202
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City | TUCSON
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State | AZ
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Zip | 85745-2654
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Country | US
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Telephone | 520-623-2244
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Fax | 520-792-2152
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Provider Business Mailing Address
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Address Line | PO BOX 40365
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City | TUCSON
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State | AZ
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Zip | 85717-0365
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Country | US
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Telephone | 520-623-2244
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Fax | 520-792-2152
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | JULIA V SALMON
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Credential | MD
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Telephone | 520-623-2244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 23000
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License Number State | AZ
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