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General NPI Number Information
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NPI Number | 1114418472
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Entity Type | Individual
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Provider Name | KEVIN SAULNIER PHD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 2215 FULLER RD
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City | ANN ARBOR
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State | MI
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Zip | 48105-2303
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Country | US
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Telephone | 734-769-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 1 OHIO UNIVERSITY DEPT OF PSYCHOLOGY PORTER HALL ROOM 002
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City | ATHENS
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State | OH
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Zip | 45701
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Country | US
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Telephone | 740-593-0902
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Fax | 740-593-4790
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301019453
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License Number State | MI
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