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General NPI Number Information
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NPI Number | 1053745844
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Entity Type | Organization
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Legal Business Name | S.A.F.E. ALTERNATIVES LLC
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Dates
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Enumeration Date | 08/28/2013
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 5091 TOWNE CENTRE DR
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City | SAINT LOUIS
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State | MO
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Zip | 63128-2740
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Country | US
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Telephone | 630-819-9505
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 303
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City | SOUTH HAVEN
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State | MI
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Zip | 49090-0303
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Country | US
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Telephone | 630-819-9505
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MICHELLE SELINER
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Credential | LCSW
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Telephone | 630-819-9505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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