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NPI Code Detail

MEDICARE: IO MARIE TEJADA SALGADO

MEDICARE: IO MARIE TEJADA SALGADO
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
1101Y00000XCounselorC.2507160-TRNEOH

General Provider Information

NPI Number : 1710728662
Entity Type Code : Individual
Provider Name (Legal Business Name) : IO MARIE TEJADA SALGADO
Provider Business Mailing Address
First Line : 5400 EDALBERT DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45239-7604
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5400 EDALBERT DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45239-7604
Country : US
Telephone Number : 855-577-7284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2024
Last Update Date : 01/08/2026

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Directions to “ IO MARIE TEJADA SALGADO ” Practice Location

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