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Individual
MABEL SALCEDO
Active
Individual
MABEL SALCEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
026972-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13820718
CAQH PROVIDER ID
NY
Enumeration date
12/13/2007
Last updated
11/03/2016
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