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General NPI Number Information
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NPI Number | 1952567885
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Entity Type | Organization
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Legal Business Name | NICHOLAS KERRY & JEFFREY SALMAN OD
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 05/12/2009
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Provider Practice Location Address
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Address Line | 35 SAN ANSELMO AVE
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City | SAN ANSELMO
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State | CA
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Zip | 94960-2842
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Country | US
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Telephone | 415-457-2020
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Fax | 415-457-2047
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Provider Business Mailing Address
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Address Line | 35 SAN ANSELMO AVE
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City | SAN ANSELMO
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State | CA
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Zip | 94960-2842
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Country | US
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Telephone | 415-457-2020
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Fax | 415-457-2047
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | DR. JEFFREY D SALMAN
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Credential | O.D.
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Telephone | 415-342-6064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 9594T
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License Number State | CA
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