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General NPI Number Information
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NPI Number | 1922810993
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Entity Type | Individual
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Provider Name | ELIZABETH LAUREN SALERNO PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 601 BROADWAY
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City | SEATTLE
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State | WA
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Zip | 98122-5330
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Country | US
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Telephone | 206-386-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 803 24TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98144-3030
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1230397
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License Number State |
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