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General NPI Number Information
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NPI Number | 1982498978
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Entity Type | Individual
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Provider Name | KEVIN ONEL SALAS CORDERO MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 614 MACO DR
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City | HARLINGEN
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State | TX
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Zip | 78550-8450
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Country | US
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Telephone | 956-296-1519
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Fax |
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Provider Business Mailing Address
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Address Line | 349 S HELEN MOORE RD APT 1203
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City | SAN BENITO
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State | TX
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Zip | 78586-9086
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Country | US
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Telephone | 939-209-1363
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 61352125
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BP10100869
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License Number State | TX
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