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General NPI Number Information
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NPI Number | 1982747721
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Entity Type | Individual
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Provider Name | IRUANI SALAS
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/26/2019
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Provider Practice Location Address
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Address Line | 113 TALLWOOD DR
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City | HARTSDALE
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State | NY
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Zip | 10530-1701
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Country | US
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Telephone | 718-579-4888
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Fax |
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Provider Business Mailing Address
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Address Line | 113 TALLWOOD DR
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City | HARTSDALE
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State | NY
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Zip | 10530-1701
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 222163
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License Number State | NY
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