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1699361022

NPI Code Detail

MEDICARE: DANIELLE ALINE SALOMONE PA-C

MEDICARE: DANIELLE ALINE SALOMONE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0401X	Addiction Medicine (Family Medicine) Physician	055.0031551	VT
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	055.0031551	VT
3	390200000X	Student in an Organized Health Care Education/Training Program
4	207QA0000X	Adolescent Medicine (Family Medicine) Physician	055.0031551	VT
5	207QA0505X	Adult Medicine Physician	055.0031551	VT

General Provider Information

NPI Number	:	1699361022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE ALINE SALOMONE PA-C

Provider Business Mailing Address
First Line	:	465 LAKEWOOD DR
Second Line	:
City	:	SWANTON
State	:	VT
Zip	:	05488-8094
Country	:	US
Telephone Number	:	802-782-4405
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 CANADA ST
Second Line	:
City	:	SWANTON
State	:	VT
Zip	:	05488-1335
Country	:	US
Telephone Number	:	802-255-5518
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2020
Last Update Date	:	11/26/2023

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Directions to “ DANIELLE ALINE SALOMONE PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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