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General NPI Number Information
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NPI Number | 1992501316
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Entity Type | Individual
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Provider Name | MR. BERYSIN SALOMON JR.
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Gender | Male
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 4TH STREET KEPINLE P.O. BOX 2399
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City | KOLONIA
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State | FM
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Zip | 96941-9694
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Country | US
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Telephone | 691-320-6115
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Fax |
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Provider Business Mailing Address
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Address Line | 4TH STREET KEPINLE P.O. BOX 2399
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City | KOLONIA
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State | FM
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Zip | 96941-2399
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Country | US
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Telephone | 691-320-6115
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 1
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License Number State | FM
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2
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License Number State | FM
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Taxonomy #3
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Taxonomy Code | 246Q00000X
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Taxonomy Name | Pathology Specialist/Technologist
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License Number | 3
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License Number State | FM
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