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General NPI Number Information
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NPI Number | 1952883779
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Entity Type | Individual
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Provider Name | MARIA SALIDVAR
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Gender | Female
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Dates
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Enumeration Date | 08/29/2018
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Last Update Date | 08/29/2018
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Provider Practice Location Address
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Address Line | 2885 E GRANT ST
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City | ROMA
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State | TX
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Zip | 78584-8914
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Country | US
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Telephone | 956-847-4055
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Fax |
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Provider Business Mailing Address
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Address Line | 100 FELIX LN
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-6448
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Country | US
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Telephone | 956-847-4055
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 34445
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License Number State | TX
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